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WORKPLANNING FOR INTEGRATION: HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN SEPTEMBER 2006 This publication was produced by Development Alternatives, Inc. for the United States Agency for International Development under Contract No. 497-M-00-05-00005-00 Photo Credit: ESP Jakarta Caption: Children in downtown Jakarta, with limited access to clean water and sanitation.
Citation preview
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
SEPTEMBER 2006
This publication was produced by Development Alternatives Inc for the United States Agency for International Development under Contract No 497-M-00-05-00005-00
Photo Credit ESP Jakarta Caption Children in downtown Jakarta with limited access to clean water and sanitation
WORKPLANNINGFOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN Title Workplanning for Integration
Health in the Watershed Preventing Diarrhea Upstream and Down
Program activity or project number Environmental Services Program
DAI Project Number 5300201 Strategic objective number SO No 2 Higher Quality Basic
Human Services Utilized (BHS) Sponsoring USAID office and contract number USAIDIndonesia
497-M-00-05-00005-00 Contractor name DAI Date of publication September 2006
TABLE OF CONTENTS
LIST OF BOXES II
LIST OF DIAGRAMS III
LIST OF ACRONYMS IV
1 INTRODUCTION 1
2 ACKNOWLEDGEMENTS 1
3 ANALYSIS OF THE CURRENT SITUATION 2
4 MAXIMIZING INTEGRATION OF ENVIRONMENT AND HEALTH 3
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS 4 42 INTEGRATION IN REGIONS6 43 INTEGRATION IN COMMUNITIES 8 44 WORKPLANNING FOR INTEGRATION9
5 TRAINING AND CAPACITY BUILDING9
6 CONCLUSIONS11
APPENDICES 13
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash
AUGUSTSEPTEMBER 2006 14 APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE 16 APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY
REGIONAL TEAMS 24 APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE 30 APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND
HYGIENE COORDINATOR 31 APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION 37
LIST OF BOXES BOX 1 CLEAN GREEN AND HEALTHY ESP FIELD SCHOOL 3 BOX 2 FORMATIVE RESEARCH UNITES HEALTH HYGIENE MEDIA AND OUTREACH5 BOX 3 SERVICE DELIVERY COMMUNITY-BASED SOLID WASTE AND HEALTH AND HYGIENE SPECIALISTS
COLLABORATE TO INCREASE WATER SUPPLY FOR THE URBAN POOR6 BOX 4 COMMERCIALIZING AIR RAHMAT IN MEKARJAYA8 BOX 5 REOPENING SANITATION CLINICS IN MEULABOH8 BOX 6 COLLABORATION ON HANDWASHING CAMPAIGNS IN ACEH9 BOX 7 HANDWASHING PUPPET SHOW ENGAGES CHILDREN IN CONTEST 10 BOX 8 HANDWASHING WITH SOAP CORRELATED WITH DECREASED SCHOOL ABSENTEEISM 11
LIST OF DIAGRAMS DIAGRAM 1 ESPrsquoS INTEGRATED APPROACH TO COMMUNITY DEVELOPMENT FROM THE ESP FIELD SCHOOL
TO PARTNER ADOPTION4 DIAGRAM 2 STRATEGIC COMMUNICATION FRAMEWORK FOR ESP5
LIST OF ACRONYMS ASA AIDS Prevention Program BHS Basic Health Services CB Community-Based DBE Decentralized Basic Education ESP Environmental Services Program FSN Food Security and Nutrition Program HIF Hygiene Improvement Framework HSP Health Services Program JHUCCP Johns Hopkins UniversityCenter for Communication Programs MMC Multi-Media Campaign NGO Non-Governmental Organization NRM Natural Resources Management PDAM Perusahaan Daerah Air Minum PMP Performance Monitoring Plan POC Public Outreach and Communication POU Point-of-Use SD Service Delivery SO Strategic Objective SWSSafe Water Systems Project TOT Training of Trainer USAID United States Agency for International Development WATSAN Water and Sanitation WSM Watershed Management and Biodiversity Conservation
1 INTRODUCTION From August 19-September 15 2006 Dr Christopher McGahey worked with a wide cross-section of project staff providing technical input and support to the annual work planning process of USAIDIndonesiarsquos Environmental Services Program (ESP) The objective of the assignment was to identify opportunities and define multi-sectoral activities which strengthen the projectrsquos contribution to diarrhea prevention especially for vulnerable women young children and poor families The outputs of the assignment are contained in this report and include specific recommendations to maximize project interventions between environment and health in the ESP 2007 Workplan training and capacity building for ESP field staff and presentations of findings to USAIDBasic Health Services (BHS) staff and partners (Health Services Program (HSP) Safe Water System project (SWS) and Food Security and Nutrition (FSN)) The Scope of Work for the assignment is presented in Appendix 1 To accomplish the objectives of the consultancy Dr McGahey worked closely with the Jakarta-based Health Communication Coordinator and the Public Outreach and Communication Coordinator participated in region-level work planning meetings and contributed to island-wide work planning meetings on Java and Sumatra Field visits were made to ESP regional offices in East Java Province (Surabaya) North Sumatra Province (Medan) West Java Province (Bandung) and Central Java Province (Yokyakarta) Documents reviewed a list of those met and the consultancy schedule are presented in Appendix 2
2 ACKNOWLEDGEMENTS This consultancy builds on the proposals made during Dr McGaheyrsquos work with ESP project staff in early 2006 An enormous amount of credit goes to these staff as they have applied their professional insights and experience to the proposals and they have adapted them to create a program of integrated activities that with time and determination will reduce diarrheal diseases in Indonesia Dr McGahey is grateful for their dedication to purpose and their creativity in developing opportunities to integrate water management environmental improvement and diarrhea prevention Moreover he thanks them for their collegiality and good humor and congratulates them for their growth as individuals and professionals during the interval between consultancies
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
3 ANALYSIS OF THE CURRENT SITUATION
ESP is by design a program that promotes the integration of its technical specialties in watershed management institutional strengthening infrastructure construction community organization spatial planning local government engagement strategic communication and environmental improvement to achieve unified objectives Achieving such integration is a challenge in any setting but the professional staff of the program have begun to make it happen in Indonesian communities This report describes the authorrsquos second consultancy to the program in support of making integration of specialties the ESP norm and he has noticed considerable advancement in the staffrsquos ability to conceptualize and develop integrated activities since his first consultancy 7 months ago While working with the staff he has clearly seen how their thinking has evolved from the narrow technically-defined ldquosilosrdquo noted in the report from the first visit to a ldquosilos+rdquo way of working By this the author means that staff are achieving the outcomes that are directly related to their technical component their ldquosilosrdquo while simultaneously identifying and initiating collaborative activities with their colleagues from other specialties to contribute to the critical outcome of reducing diarrhea in children under the age of 3 ESPrsquos staff have been a high performance group since the project began and they now have great confidence in knowing how to achieve the outcomes established for their technical specialty In the next year the staff will be expected to continue contributing toward their technical outcomes while also working closely together to transform targeted locations by realistically operationalizing and gaining the benefits from the synergies between their talents The work plans which are emerging from current discussions will clearly reflect this new ldquosilos+rdquo approach Their preparation has not been easy for the staff as it has forced them to internalize a more complex way of viewing their daily activities In the next project year each staff member will learn how to make this increased complexity part of their everyday work In this way the entire program will live up to and make real its vision of
ldquopromoting better health through integration of improved water resources management and increased access to clean
water and sanitation servicesrdquo with a constant eye toward significantly contributing to USAIDIndonesiarsquos strategic objective indicator of
Reducing the proportion of children aged 0 - 35 months who had diarrhea at any time in the two week period prior
to any survey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 2
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
4 MAXIMIZING INTEGRATION OF ENVIRONMENT AND HEALTH
Multi-sectoral integration is a challenge anywhere in the world Consensus surrounds applying it as a unifying concept but operationalizing it for synergistic success on the ground is very rare ESP is poised to establish and document this integration as a normal way of practice but it has not yet fully caught on as a core consideration in activity design and implementation The creation of ESPrsquos 2007 Annual Work Plan offers the opportunity to fully engage national and regional staff in identifying - for each proposed activity - ways in which the full range of ESPrsquos technical expertise can be mobilized in targeted communities to simultaneously improve environmental protection and human health ESPrsquos commitment to cross-sectoral integration is best captured in the design and conduct of the recently concluded Watershed Management Farmer Field School training of trainers activity The Field School approach to community-based agricultural management is well established in Indonesia ESP has adapted a conventional agro-environmental content to include sanitation and hygiene as described in the following box
Box 1 Clean Green and Healthy ESP Field School
But ESP staff have not kept up fully with the content of the ESP Field School curriculum They have not yet fully internalized this integrated approach into their daily work Collaborative efforts have happened during the past six months but they have largely been collaboration-for-convenience rather than planned shared activities where the teams consciously engage their colleagues to consistently ensure that environmental protection infrastructure improvement utility operations hygiene improvement and public outreach are coordinated in specific locations to achieve multiple results In developing the 2007 Annual Work Plan emphasis has been placed on the consistent application of the full integrated approach and curriculum developed for and used at the ESP Field School TOT as the principal guide for future field activities The expected contribution from Field Schools and from ESPrsquos adoption of its approach to the 2007 program is illustrated in the following diagram
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 3
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Diagram 1 ESPrsquos Integrated Approach to Community Development from the ESP Field School to Partner Adoption A key advantage to orienting work toward the ESP Field School concept will be establishing a unified approach to working with external partners at the community level This shared approach will eliminate the contrasting approaches currently followed by different staff ndash each health and hygiene professional service delivery staff and watershed management staff has herhis own way to engage communities and local government to facilitate integration The Field School approach is most consistent with that currently used by the wateshed management team members It is anticipated in the next year that this integration ndash consistent with the core theme of the ESP Field School training of trainers ndash will be implemented directly at the regional level with coordinated support from national-level staff At the same time it is being proposed in the preparation of the work plan that the national level staff in each of ESPrsquos main technical components work in more coordinated ways to ensure unified support to regional programs
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS
Over the past 20 years health communicators have concluded that collaboratively designed multi-dimensional communication programs best improve human health by strategically addressing the motivators that guide people to change their behavior Well-developed communication strategies provide coherence for a health programrsquos activities guiding it toward its goals For ESP strategic communication ndash an integration of the talents of the
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 4
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
POC and Health and Hygiene groups - is the glue that holds the program together and the portrayor of a consistent vision that ties together the programrsquos multi-faceted activities Strategic communication is characterized by multichannel integration multiplicity of stakeholders specific attention to evaluation and evidence-based programming and balancing large-scale impact at the national level through use of mass media with site-specific impact at the community level through use of locally appropriate communication channels In August 2006 a Strategic Framework was developed to guide implementation of a strategic communication program for the coming year The framework is shown in the following graphic
TO INCREASE WATER MANAGEMENT amp HYGIENE PRACTICES TO DECREASE DIARRHEA
MASS MEDIA amp MASS MEDIA amp ADVOCACYADVOCACY
SCHOOLSCHOOL
LOGO - SLOGAN
TV amp RADIO SPOTS
PRESS COVERAGE
HEALTH FESTIVALSBCC DEMOS SHOWS
EE AWARDS
EDUCATIONAL MATERIALS
PRIVATE PUBLICPARTNERSHIP
HAND WASHING SOAP STATIONS
STRENGTHENING NETWORKS
MainMain StrategicStrategic ComponentsComponents
INSPIRATIONAL LIFE STORIES
PROMO MATERIALS
CLEAN CLEAN COMMUNITYCOMMUNITY
Main Strategic ComponentsMain Strategic Components
E amp H CURRICULUM
CHILD-TO-CHILD
SANITATION amp WASTE MGT
ADOPT A SCHOOL
BUSINESS JOURNAL
Entertainment-Education
SMALL ENTREPRENOURS
Diagram 2 Strategic Communication Framework for ESP
Many of the activities in the lowest tier of boxes have been implemented by ESP during its first 18 months However during that time they were not coordinated messages were not consistent timing of media features was not supportive of field activities and the Health and Hygiene program was on a parallel but disconnected path regarding communication of messages to that of the Public Outreach and Communication specialists Their cooperation on implementing the communication formative research served to break through some of this previous ldquosiloingrdquo between the two components
Box 2 Formative Research Unites Health Hygiene Media and Outreach
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 5
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During this consultancy the communication framework was used to guide the preparation of a shared POC and Health and Hygiene work plan for Strategic Communication for Behavior Change that more closely integrates the two aspects of the project particularly at the national level The first draft of the Health and Hygiene Communication Coordinatorrsquos work plan that was later refined and merged with that of the POC is shown in Appendix 5 Key changes reflected in the work plan include the following 1) ldquoWater Quality and Healthrdquo as the major national and regional campaign with
communication targeted by POC toward a) Community campaigns b) Schools c) Local leadersmass media d) Local government
2) Public-private partnerships being maximized to leverage private sector investment in support of communication objectives a) Paper placement b) Media adoption and subsequent collection of funds from their readers to support
community activities 3) Significantly closer and more flexible coordination between public outreach health and
communication staff at the national level 4) High demand for integration between POC and HH staff operationally in each regional
office a) POC wants to be a valued source of information by the media b) POC staff need to be investigative journalist within ESP to identify and dig into
possible stories from among the many project activities
42 INTEGRATION IN REGIONS Integration between ESP component specialists is most important at the regional level The project has had several successful collaborations to date but much room exists to expand the number of opportunities where complementary specialties can be integrated for expanded project success One example of strong integration is described in the following box
Box 3 Service Delivery Community-based Solid Waste and Health and Hygiene
Specialists Collaborate to Increase Water Supply for the Urban Poor
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 6
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During the current consultancy numerous opportunities were found where program integration could occur better among regional-level specialists These were identified discussed with the relevant component specialists and captured in the integrated work plans prepared by regional staff for inclusion in the 2007 Annual Work Plan for ESP Several opportunities were identified repeatedly in preliminary workplan review as those where integration ndash and particularly the integration of Health and Hygiene staff ndash would likely lead to more beneficial outcomes These common opportunities include
1 Including appropriate hygiene instruction in all community-level participatory activities including assessments training and mobilization
2 Incorporating the content of the Health and Hygiene component from the ESP Field School training of trainers in all related field activities
3 Including a targeted diarrhea prevention module in all training courses designed or supported for PDAM staff from senior management to treatment facility operators
4 Geolocating all posyandus serving target communities during GIS and sanitation mapping exercises to facilitate monitoring of diarrhea reduction
5 Integrate Health and Hygiene behavior change activities into every implementation of Sub-Task SD 3-1 (Encourage and Increase Piped (PDAM) Water Access for the Urban Poor)
6 Always including handwashing promotional activites with community-based solid waste activities as ldquoClean Green and Hygienerdquo integrated approaches
7 All ldquoPride Campaignsrdquo are to include at least one handwashing campaign as part of their efforts
8 All activities in schools should include handwashing activities and application of a school attendance record book to monitor changes in attendance attributable to the lessons of the campaign
In ESPrsquos 2007 Annual Work Plan the operationalization of these opportunities are presented using the integrated approaches developed by the project to describe programs
1 Blue Thread In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Locations include Krueng Aceh DAS Deli Padang Cianjur Subang Progo and the Upper Brantas
2 Clean Green and Hygiene ndash including sanitation systems This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Regional examples include Sunggal Wonokromo and Taman Sari
3 Anchor Projects In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - would be directed at a single community to enable its comprehensive transformation and development In this approach the findings of Participatory Rural Appraisals (PRAs) serve as the flexible entry point to the community Several locations are being developed and are represented in the second annual work plan
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 7
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 8
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 9
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 10
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 11
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 12
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 13
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 14
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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ESP 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FRA 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50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged 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Photo Credit ESP Jakarta Caption Children in downtown Jakarta with limited access to clean water and sanitation
WORKPLANNINGFOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN Title Workplanning for Integration
Health in the Watershed Preventing Diarrhea Upstream and Down
Program activity or project number Environmental Services Program
DAI Project Number 5300201 Strategic objective number SO No 2 Higher Quality Basic
Human Services Utilized (BHS) Sponsoring USAID office and contract number USAIDIndonesia
497-M-00-05-00005-00 Contractor name DAI Date of publication September 2006
TABLE OF CONTENTS
LIST OF BOXES II
LIST OF DIAGRAMS III
LIST OF ACRONYMS IV
1 INTRODUCTION 1
2 ACKNOWLEDGEMENTS 1
3 ANALYSIS OF THE CURRENT SITUATION 2
4 MAXIMIZING INTEGRATION OF ENVIRONMENT AND HEALTH 3
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS 4 42 INTEGRATION IN REGIONS6 43 INTEGRATION IN COMMUNITIES 8 44 WORKPLANNING FOR INTEGRATION9
5 TRAINING AND CAPACITY BUILDING9
6 CONCLUSIONS11
APPENDICES 13
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash
AUGUSTSEPTEMBER 2006 14 APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE 16 APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY
REGIONAL TEAMS 24 APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE 30 APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND
HYGIENE COORDINATOR 31 APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION 37
LIST OF BOXES BOX 1 CLEAN GREEN AND HEALTHY ESP FIELD SCHOOL 3 BOX 2 FORMATIVE RESEARCH UNITES HEALTH HYGIENE MEDIA AND OUTREACH5 BOX 3 SERVICE DELIVERY COMMUNITY-BASED SOLID WASTE AND HEALTH AND HYGIENE SPECIALISTS
COLLABORATE TO INCREASE WATER SUPPLY FOR THE URBAN POOR6 BOX 4 COMMERCIALIZING AIR RAHMAT IN MEKARJAYA8 BOX 5 REOPENING SANITATION CLINICS IN MEULABOH8 BOX 6 COLLABORATION ON HANDWASHING CAMPAIGNS IN ACEH9 BOX 7 HANDWASHING PUPPET SHOW ENGAGES CHILDREN IN CONTEST 10 BOX 8 HANDWASHING WITH SOAP CORRELATED WITH DECREASED SCHOOL ABSENTEEISM 11
LIST OF DIAGRAMS DIAGRAM 1 ESPrsquoS INTEGRATED APPROACH TO COMMUNITY DEVELOPMENT FROM THE ESP FIELD SCHOOL
TO PARTNER ADOPTION4 DIAGRAM 2 STRATEGIC COMMUNICATION FRAMEWORK FOR ESP5
LIST OF ACRONYMS ASA AIDS Prevention Program BHS Basic Health Services CB Community-Based DBE Decentralized Basic Education ESP Environmental Services Program FSN Food Security and Nutrition Program HIF Hygiene Improvement Framework HSP Health Services Program JHUCCP Johns Hopkins UniversityCenter for Communication Programs MMC Multi-Media Campaign NGO Non-Governmental Organization NRM Natural Resources Management PDAM Perusahaan Daerah Air Minum PMP Performance Monitoring Plan POC Public Outreach and Communication POU Point-of-Use SD Service Delivery SO Strategic Objective SWSSafe Water Systems Project TOT Training of Trainer USAID United States Agency for International Development WATSAN Water and Sanitation WSM Watershed Management and Biodiversity Conservation
1 INTRODUCTION From August 19-September 15 2006 Dr Christopher McGahey worked with a wide cross-section of project staff providing technical input and support to the annual work planning process of USAIDIndonesiarsquos Environmental Services Program (ESP) The objective of the assignment was to identify opportunities and define multi-sectoral activities which strengthen the projectrsquos contribution to diarrhea prevention especially for vulnerable women young children and poor families The outputs of the assignment are contained in this report and include specific recommendations to maximize project interventions between environment and health in the ESP 2007 Workplan training and capacity building for ESP field staff and presentations of findings to USAIDBasic Health Services (BHS) staff and partners (Health Services Program (HSP) Safe Water System project (SWS) and Food Security and Nutrition (FSN)) The Scope of Work for the assignment is presented in Appendix 1 To accomplish the objectives of the consultancy Dr McGahey worked closely with the Jakarta-based Health Communication Coordinator and the Public Outreach and Communication Coordinator participated in region-level work planning meetings and contributed to island-wide work planning meetings on Java and Sumatra Field visits were made to ESP regional offices in East Java Province (Surabaya) North Sumatra Province (Medan) West Java Province (Bandung) and Central Java Province (Yokyakarta) Documents reviewed a list of those met and the consultancy schedule are presented in Appendix 2
2 ACKNOWLEDGEMENTS This consultancy builds on the proposals made during Dr McGaheyrsquos work with ESP project staff in early 2006 An enormous amount of credit goes to these staff as they have applied their professional insights and experience to the proposals and they have adapted them to create a program of integrated activities that with time and determination will reduce diarrheal diseases in Indonesia Dr McGahey is grateful for their dedication to purpose and their creativity in developing opportunities to integrate water management environmental improvement and diarrhea prevention Moreover he thanks them for their collegiality and good humor and congratulates them for their growth as individuals and professionals during the interval between consultancies
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
3 ANALYSIS OF THE CURRENT SITUATION
ESP is by design a program that promotes the integration of its technical specialties in watershed management institutional strengthening infrastructure construction community organization spatial planning local government engagement strategic communication and environmental improvement to achieve unified objectives Achieving such integration is a challenge in any setting but the professional staff of the program have begun to make it happen in Indonesian communities This report describes the authorrsquos second consultancy to the program in support of making integration of specialties the ESP norm and he has noticed considerable advancement in the staffrsquos ability to conceptualize and develop integrated activities since his first consultancy 7 months ago While working with the staff he has clearly seen how their thinking has evolved from the narrow technically-defined ldquosilosrdquo noted in the report from the first visit to a ldquosilos+rdquo way of working By this the author means that staff are achieving the outcomes that are directly related to their technical component their ldquosilosrdquo while simultaneously identifying and initiating collaborative activities with their colleagues from other specialties to contribute to the critical outcome of reducing diarrhea in children under the age of 3 ESPrsquos staff have been a high performance group since the project began and they now have great confidence in knowing how to achieve the outcomes established for their technical specialty In the next year the staff will be expected to continue contributing toward their technical outcomes while also working closely together to transform targeted locations by realistically operationalizing and gaining the benefits from the synergies between their talents The work plans which are emerging from current discussions will clearly reflect this new ldquosilos+rdquo approach Their preparation has not been easy for the staff as it has forced them to internalize a more complex way of viewing their daily activities In the next project year each staff member will learn how to make this increased complexity part of their everyday work In this way the entire program will live up to and make real its vision of
ldquopromoting better health through integration of improved water resources management and increased access to clean
water and sanitation servicesrdquo with a constant eye toward significantly contributing to USAIDIndonesiarsquos strategic objective indicator of
Reducing the proportion of children aged 0 - 35 months who had diarrhea at any time in the two week period prior
to any survey
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4 MAXIMIZING INTEGRATION OF ENVIRONMENT AND HEALTH
Multi-sectoral integration is a challenge anywhere in the world Consensus surrounds applying it as a unifying concept but operationalizing it for synergistic success on the ground is very rare ESP is poised to establish and document this integration as a normal way of practice but it has not yet fully caught on as a core consideration in activity design and implementation The creation of ESPrsquos 2007 Annual Work Plan offers the opportunity to fully engage national and regional staff in identifying - for each proposed activity - ways in which the full range of ESPrsquos technical expertise can be mobilized in targeted communities to simultaneously improve environmental protection and human health ESPrsquos commitment to cross-sectoral integration is best captured in the design and conduct of the recently concluded Watershed Management Farmer Field School training of trainers activity The Field School approach to community-based agricultural management is well established in Indonesia ESP has adapted a conventional agro-environmental content to include sanitation and hygiene as described in the following box
Box 1 Clean Green and Healthy ESP Field School
But ESP staff have not kept up fully with the content of the ESP Field School curriculum They have not yet fully internalized this integrated approach into their daily work Collaborative efforts have happened during the past six months but they have largely been collaboration-for-convenience rather than planned shared activities where the teams consciously engage their colleagues to consistently ensure that environmental protection infrastructure improvement utility operations hygiene improvement and public outreach are coordinated in specific locations to achieve multiple results In developing the 2007 Annual Work Plan emphasis has been placed on the consistent application of the full integrated approach and curriculum developed for and used at the ESP Field School TOT as the principal guide for future field activities The expected contribution from Field Schools and from ESPrsquos adoption of its approach to the 2007 program is illustrated in the following diagram
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Diagram 1 ESPrsquos Integrated Approach to Community Development from the ESP Field School to Partner Adoption A key advantage to orienting work toward the ESP Field School concept will be establishing a unified approach to working with external partners at the community level This shared approach will eliminate the contrasting approaches currently followed by different staff ndash each health and hygiene professional service delivery staff and watershed management staff has herhis own way to engage communities and local government to facilitate integration The Field School approach is most consistent with that currently used by the wateshed management team members It is anticipated in the next year that this integration ndash consistent with the core theme of the ESP Field School training of trainers ndash will be implemented directly at the regional level with coordinated support from national-level staff At the same time it is being proposed in the preparation of the work plan that the national level staff in each of ESPrsquos main technical components work in more coordinated ways to ensure unified support to regional programs
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS
Over the past 20 years health communicators have concluded that collaboratively designed multi-dimensional communication programs best improve human health by strategically addressing the motivators that guide people to change their behavior Well-developed communication strategies provide coherence for a health programrsquos activities guiding it toward its goals For ESP strategic communication ndash an integration of the talents of the
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POC and Health and Hygiene groups - is the glue that holds the program together and the portrayor of a consistent vision that ties together the programrsquos multi-faceted activities Strategic communication is characterized by multichannel integration multiplicity of stakeholders specific attention to evaluation and evidence-based programming and balancing large-scale impact at the national level through use of mass media with site-specific impact at the community level through use of locally appropriate communication channels In August 2006 a Strategic Framework was developed to guide implementation of a strategic communication program for the coming year The framework is shown in the following graphic
TO INCREASE WATER MANAGEMENT amp HYGIENE PRACTICES TO DECREASE DIARRHEA
MASS MEDIA amp MASS MEDIA amp ADVOCACYADVOCACY
SCHOOLSCHOOL
LOGO - SLOGAN
TV amp RADIO SPOTS
PRESS COVERAGE
HEALTH FESTIVALSBCC DEMOS SHOWS
EE AWARDS
EDUCATIONAL MATERIALS
PRIVATE PUBLICPARTNERSHIP
HAND WASHING SOAP STATIONS
STRENGTHENING NETWORKS
MainMain StrategicStrategic ComponentsComponents
INSPIRATIONAL LIFE STORIES
PROMO MATERIALS
CLEAN CLEAN COMMUNITYCOMMUNITY
Main Strategic ComponentsMain Strategic Components
E amp H CURRICULUM
CHILD-TO-CHILD
SANITATION amp WASTE MGT
ADOPT A SCHOOL
BUSINESS JOURNAL
Entertainment-Education
SMALL ENTREPRENOURS
Diagram 2 Strategic Communication Framework for ESP
Many of the activities in the lowest tier of boxes have been implemented by ESP during its first 18 months However during that time they were not coordinated messages were not consistent timing of media features was not supportive of field activities and the Health and Hygiene program was on a parallel but disconnected path regarding communication of messages to that of the Public Outreach and Communication specialists Their cooperation on implementing the communication formative research served to break through some of this previous ldquosiloingrdquo between the two components
Box 2 Formative Research Unites Health Hygiene Media and Outreach
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During this consultancy the communication framework was used to guide the preparation of a shared POC and Health and Hygiene work plan for Strategic Communication for Behavior Change that more closely integrates the two aspects of the project particularly at the national level The first draft of the Health and Hygiene Communication Coordinatorrsquos work plan that was later refined and merged with that of the POC is shown in Appendix 5 Key changes reflected in the work plan include the following 1) ldquoWater Quality and Healthrdquo as the major national and regional campaign with
communication targeted by POC toward a) Community campaigns b) Schools c) Local leadersmass media d) Local government
2) Public-private partnerships being maximized to leverage private sector investment in support of communication objectives a) Paper placement b) Media adoption and subsequent collection of funds from their readers to support
community activities 3) Significantly closer and more flexible coordination between public outreach health and
communication staff at the national level 4) High demand for integration between POC and HH staff operationally in each regional
office a) POC wants to be a valued source of information by the media b) POC staff need to be investigative journalist within ESP to identify and dig into
possible stories from among the many project activities
42 INTEGRATION IN REGIONS Integration between ESP component specialists is most important at the regional level The project has had several successful collaborations to date but much room exists to expand the number of opportunities where complementary specialties can be integrated for expanded project success One example of strong integration is described in the following box
Box 3 Service Delivery Community-based Solid Waste and Health and Hygiene
Specialists Collaborate to Increase Water Supply for the Urban Poor
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During the current consultancy numerous opportunities were found where program integration could occur better among regional-level specialists These were identified discussed with the relevant component specialists and captured in the integrated work plans prepared by regional staff for inclusion in the 2007 Annual Work Plan for ESP Several opportunities were identified repeatedly in preliminary workplan review as those where integration ndash and particularly the integration of Health and Hygiene staff ndash would likely lead to more beneficial outcomes These common opportunities include
1 Including appropriate hygiene instruction in all community-level participatory activities including assessments training and mobilization
2 Incorporating the content of the Health and Hygiene component from the ESP Field School training of trainers in all related field activities
3 Including a targeted diarrhea prevention module in all training courses designed or supported for PDAM staff from senior management to treatment facility operators
4 Geolocating all posyandus serving target communities during GIS and sanitation mapping exercises to facilitate monitoring of diarrhea reduction
5 Integrate Health and Hygiene behavior change activities into every implementation of Sub-Task SD 3-1 (Encourage and Increase Piped (PDAM) Water Access for the Urban Poor)
6 Always including handwashing promotional activites with community-based solid waste activities as ldquoClean Green and Hygienerdquo integrated approaches
7 All ldquoPride Campaignsrdquo are to include at least one handwashing campaign as part of their efforts
8 All activities in schools should include handwashing activities and application of a school attendance record book to monitor changes in attendance attributable to the lessons of the campaign
In ESPrsquos 2007 Annual Work Plan the operationalization of these opportunities are presented using the integrated approaches developed by the project to describe programs
1 Blue Thread In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Locations include Krueng Aceh DAS Deli Padang Cianjur Subang Progo and the Upper Brantas
2 Clean Green and Hygiene ndash including sanitation systems This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Regional examples include Sunggal Wonokromo and Taman Sari
3 Anchor Projects In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - would be directed at a single community to enable its comprehensive transformation and development In this approach the findings of Participatory Rural Appraisals (PRAs) serve as the flexible entry point to the community Several locations are being developed and are represented in the second annual work plan
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43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
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position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
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As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
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sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
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plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
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APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
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APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
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This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
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APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
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Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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 DEU 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 ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNINGFOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN Title Workplanning for Integration
Health in the Watershed Preventing Diarrhea Upstream and Down
Program activity or project number Environmental Services Program
DAI Project Number 5300201 Strategic objective number SO No 2 Higher Quality Basic
Human Services Utilized (BHS) Sponsoring USAID office and contract number USAIDIndonesia
497-M-00-05-00005-00 Contractor name DAI Date of publication September 2006
TABLE OF CONTENTS
LIST OF BOXES II
LIST OF DIAGRAMS III
LIST OF ACRONYMS IV
1 INTRODUCTION 1
2 ACKNOWLEDGEMENTS 1
3 ANALYSIS OF THE CURRENT SITUATION 2
4 MAXIMIZING INTEGRATION OF ENVIRONMENT AND HEALTH 3
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS 4 42 INTEGRATION IN REGIONS6 43 INTEGRATION IN COMMUNITIES 8 44 WORKPLANNING FOR INTEGRATION9
5 TRAINING AND CAPACITY BUILDING9
6 CONCLUSIONS11
APPENDICES 13
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash
AUGUSTSEPTEMBER 2006 14 APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE 16 APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY
REGIONAL TEAMS 24 APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE 30 APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND
HYGIENE COORDINATOR 31 APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION 37
LIST OF BOXES BOX 1 CLEAN GREEN AND HEALTHY ESP FIELD SCHOOL 3 BOX 2 FORMATIVE RESEARCH UNITES HEALTH HYGIENE MEDIA AND OUTREACH5 BOX 3 SERVICE DELIVERY COMMUNITY-BASED SOLID WASTE AND HEALTH AND HYGIENE SPECIALISTS
COLLABORATE TO INCREASE WATER SUPPLY FOR THE URBAN POOR6 BOX 4 COMMERCIALIZING AIR RAHMAT IN MEKARJAYA8 BOX 5 REOPENING SANITATION CLINICS IN MEULABOH8 BOX 6 COLLABORATION ON HANDWASHING CAMPAIGNS IN ACEH9 BOX 7 HANDWASHING PUPPET SHOW ENGAGES CHILDREN IN CONTEST 10 BOX 8 HANDWASHING WITH SOAP CORRELATED WITH DECREASED SCHOOL ABSENTEEISM 11
LIST OF DIAGRAMS DIAGRAM 1 ESPrsquoS INTEGRATED APPROACH TO COMMUNITY DEVELOPMENT FROM THE ESP FIELD SCHOOL
TO PARTNER ADOPTION4 DIAGRAM 2 STRATEGIC COMMUNICATION FRAMEWORK FOR ESP5
LIST OF ACRONYMS ASA AIDS Prevention Program BHS Basic Health Services CB Community-Based DBE Decentralized Basic Education ESP Environmental Services Program FSN Food Security and Nutrition Program HIF Hygiene Improvement Framework HSP Health Services Program JHUCCP Johns Hopkins UniversityCenter for Communication Programs MMC Multi-Media Campaign NGO Non-Governmental Organization NRM Natural Resources Management PDAM Perusahaan Daerah Air Minum PMP Performance Monitoring Plan POC Public Outreach and Communication POU Point-of-Use SD Service Delivery SO Strategic Objective SWSSafe Water Systems Project TOT Training of Trainer USAID United States Agency for International Development WATSAN Water and Sanitation WSM Watershed Management and Biodiversity Conservation
1 INTRODUCTION From August 19-September 15 2006 Dr Christopher McGahey worked with a wide cross-section of project staff providing technical input and support to the annual work planning process of USAIDIndonesiarsquos Environmental Services Program (ESP) The objective of the assignment was to identify opportunities and define multi-sectoral activities which strengthen the projectrsquos contribution to diarrhea prevention especially for vulnerable women young children and poor families The outputs of the assignment are contained in this report and include specific recommendations to maximize project interventions between environment and health in the ESP 2007 Workplan training and capacity building for ESP field staff and presentations of findings to USAIDBasic Health Services (BHS) staff and partners (Health Services Program (HSP) Safe Water System project (SWS) and Food Security and Nutrition (FSN)) The Scope of Work for the assignment is presented in Appendix 1 To accomplish the objectives of the consultancy Dr McGahey worked closely with the Jakarta-based Health Communication Coordinator and the Public Outreach and Communication Coordinator participated in region-level work planning meetings and contributed to island-wide work planning meetings on Java and Sumatra Field visits were made to ESP regional offices in East Java Province (Surabaya) North Sumatra Province (Medan) West Java Province (Bandung) and Central Java Province (Yokyakarta) Documents reviewed a list of those met and the consultancy schedule are presented in Appendix 2
2 ACKNOWLEDGEMENTS This consultancy builds on the proposals made during Dr McGaheyrsquos work with ESP project staff in early 2006 An enormous amount of credit goes to these staff as they have applied their professional insights and experience to the proposals and they have adapted them to create a program of integrated activities that with time and determination will reduce diarrheal diseases in Indonesia Dr McGahey is grateful for their dedication to purpose and their creativity in developing opportunities to integrate water management environmental improvement and diarrhea prevention Moreover he thanks them for their collegiality and good humor and congratulates them for their growth as individuals and professionals during the interval between consultancies
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
3 ANALYSIS OF THE CURRENT SITUATION
ESP is by design a program that promotes the integration of its technical specialties in watershed management institutional strengthening infrastructure construction community organization spatial planning local government engagement strategic communication and environmental improvement to achieve unified objectives Achieving such integration is a challenge in any setting but the professional staff of the program have begun to make it happen in Indonesian communities This report describes the authorrsquos second consultancy to the program in support of making integration of specialties the ESP norm and he has noticed considerable advancement in the staffrsquos ability to conceptualize and develop integrated activities since his first consultancy 7 months ago While working with the staff he has clearly seen how their thinking has evolved from the narrow technically-defined ldquosilosrdquo noted in the report from the first visit to a ldquosilos+rdquo way of working By this the author means that staff are achieving the outcomes that are directly related to their technical component their ldquosilosrdquo while simultaneously identifying and initiating collaborative activities with their colleagues from other specialties to contribute to the critical outcome of reducing diarrhea in children under the age of 3 ESPrsquos staff have been a high performance group since the project began and they now have great confidence in knowing how to achieve the outcomes established for their technical specialty In the next year the staff will be expected to continue contributing toward their technical outcomes while also working closely together to transform targeted locations by realistically operationalizing and gaining the benefits from the synergies between their talents The work plans which are emerging from current discussions will clearly reflect this new ldquosilos+rdquo approach Their preparation has not been easy for the staff as it has forced them to internalize a more complex way of viewing their daily activities In the next project year each staff member will learn how to make this increased complexity part of their everyday work In this way the entire program will live up to and make real its vision of
ldquopromoting better health through integration of improved water resources management and increased access to clean
water and sanitation servicesrdquo with a constant eye toward significantly contributing to USAIDIndonesiarsquos strategic objective indicator of
Reducing the proportion of children aged 0 - 35 months who had diarrhea at any time in the two week period prior
to any survey
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4 MAXIMIZING INTEGRATION OF ENVIRONMENT AND HEALTH
Multi-sectoral integration is a challenge anywhere in the world Consensus surrounds applying it as a unifying concept but operationalizing it for synergistic success on the ground is very rare ESP is poised to establish and document this integration as a normal way of practice but it has not yet fully caught on as a core consideration in activity design and implementation The creation of ESPrsquos 2007 Annual Work Plan offers the opportunity to fully engage national and regional staff in identifying - for each proposed activity - ways in which the full range of ESPrsquos technical expertise can be mobilized in targeted communities to simultaneously improve environmental protection and human health ESPrsquos commitment to cross-sectoral integration is best captured in the design and conduct of the recently concluded Watershed Management Farmer Field School training of trainers activity The Field School approach to community-based agricultural management is well established in Indonesia ESP has adapted a conventional agro-environmental content to include sanitation and hygiene as described in the following box
Box 1 Clean Green and Healthy ESP Field School
But ESP staff have not kept up fully with the content of the ESP Field School curriculum They have not yet fully internalized this integrated approach into their daily work Collaborative efforts have happened during the past six months but they have largely been collaboration-for-convenience rather than planned shared activities where the teams consciously engage their colleagues to consistently ensure that environmental protection infrastructure improvement utility operations hygiene improvement and public outreach are coordinated in specific locations to achieve multiple results In developing the 2007 Annual Work Plan emphasis has been placed on the consistent application of the full integrated approach and curriculum developed for and used at the ESP Field School TOT as the principal guide for future field activities The expected contribution from Field Schools and from ESPrsquos adoption of its approach to the 2007 program is illustrated in the following diagram
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Diagram 1 ESPrsquos Integrated Approach to Community Development from the ESP Field School to Partner Adoption A key advantage to orienting work toward the ESP Field School concept will be establishing a unified approach to working with external partners at the community level This shared approach will eliminate the contrasting approaches currently followed by different staff ndash each health and hygiene professional service delivery staff and watershed management staff has herhis own way to engage communities and local government to facilitate integration The Field School approach is most consistent with that currently used by the wateshed management team members It is anticipated in the next year that this integration ndash consistent with the core theme of the ESP Field School training of trainers ndash will be implemented directly at the regional level with coordinated support from national-level staff At the same time it is being proposed in the preparation of the work plan that the national level staff in each of ESPrsquos main technical components work in more coordinated ways to ensure unified support to regional programs
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS
Over the past 20 years health communicators have concluded that collaboratively designed multi-dimensional communication programs best improve human health by strategically addressing the motivators that guide people to change their behavior Well-developed communication strategies provide coherence for a health programrsquos activities guiding it toward its goals For ESP strategic communication ndash an integration of the talents of the
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POC and Health and Hygiene groups - is the glue that holds the program together and the portrayor of a consistent vision that ties together the programrsquos multi-faceted activities Strategic communication is characterized by multichannel integration multiplicity of stakeholders specific attention to evaluation and evidence-based programming and balancing large-scale impact at the national level through use of mass media with site-specific impact at the community level through use of locally appropriate communication channels In August 2006 a Strategic Framework was developed to guide implementation of a strategic communication program for the coming year The framework is shown in the following graphic
TO INCREASE WATER MANAGEMENT amp HYGIENE PRACTICES TO DECREASE DIARRHEA
MASS MEDIA amp MASS MEDIA amp ADVOCACYADVOCACY
SCHOOLSCHOOL
LOGO - SLOGAN
TV amp RADIO SPOTS
PRESS COVERAGE
HEALTH FESTIVALSBCC DEMOS SHOWS
EE AWARDS
EDUCATIONAL MATERIALS
PRIVATE PUBLICPARTNERSHIP
HAND WASHING SOAP STATIONS
STRENGTHENING NETWORKS
MainMain StrategicStrategic ComponentsComponents
INSPIRATIONAL LIFE STORIES
PROMO MATERIALS
CLEAN CLEAN COMMUNITYCOMMUNITY
Main Strategic ComponentsMain Strategic Components
E amp H CURRICULUM
CHILD-TO-CHILD
SANITATION amp WASTE MGT
ADOPT A SCHOOL
BUSINESS JOURNAL
Entertainment-Education
SMALL ENTREPRENOURS
Diagram 2 Strategic Communication Framework for ESP
Many of the activities in the lowest tier of boxes have been implemented by ESP during its first 18 months However during that time they were not coordinated messages were not consistent timing of media features was not supportive of field activities and the Health and Hygiene program was on a parallel but disconnected path regarding communication of messages to that of the Public Outreach and Communication specialists Their cooperation on implementing the communication formative research served to break through some of this previous ldquosiloingrdquo between the two components
Box 2 Formative Research Unites Health Hygiene Media and Outreach
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During this consultancy the communication framework was used to guide the preparation of a shared POC and Health and Hygiene work plan for Strategic Communication for Behavior Change that more closely integrates the two aspects of the project particularly at the national level The first draft of the Health and Hygiene Communication Coordinatorrsquos work plan that was later refined and merged with that of the POC is shown in Appendix 5 Key changes reflected in the work plan include the following 1) ldquoWater Quality and Healthrdquo as the major national and regional campaign with
communication targeted by POC toward a) Community campaigns b) Schools c) Local leadersmass media d) Local government
2) Public-private partnerships being maximized to leverage private sector investment in support of communication objectives a) Paper placement b) Media adoption and subsequent collection of funds from their readers to support
community activities 3) Significantly closer and more flexible coordination between public outreach health and
communication staff at the national level 4) High demand for integration between POC and HH staff operationally in each regional
office a) POC wants to be a valued source of information by the media b) POC staff need to be investigative journalist within ESP to identify and dig into
possible stories from among the many project activities
42 INTEGRATION IN REGIONS Integration between ESP component specialists is most important at the regional level The project has had several successful collaborations to date but much room exists to expand the number of opportunities where complementary specialties can be integrated for expanded project success One example of strong integration is described in the following box
Box 3 Service Delivery Community-based Solid Waste and Health and Hygiene
Specialists Collaborate to Increase Water Supply for the Urban Poor
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During the current consultancy numerous opportunities were found where program integration could occur better among regional-level specialists These were identified discussed with the relevant component specialists and captured in the integrated work plans prepared by regional staff for inclusion in the 2007 Annual Work Plan for ESP Several opportunities were identified repeatedly in preliminary workplan review as those where integration ndash and particularly the integration of Health and Hygiene staff ndash would likely lead to more beneficial outcomes These common opportunities include
1 Including appropriate hygiene instruction in all community-level participatory activities including assessments training and mobilization
2 Incorporating the content of the Health and Hygiene component from the ESP Field School training of trainers in all related field activities
3 Including a targeted diarrhea prevention module in all training courses designed or supported for PDAM staff from senior management to treatment facility operators
4 Geolocating all posyandus serving target communities during GIS and sanitation mapping exercises to facilitate monitoring of diarrhea reduction
5 Integrate Health and Hygiene behavior change activities into every implementation of Sub-Task SD 3-1 (Encourage and Increase Piped (PDAM) Water Access for the Urban Poor)
6 Always including handwashing promotional activites with community-based solid waste activities as ldquoClean Green and Hygienerdquo integrated approaches
7 All ldquoPride Campaignsrdquo are to include at least one handwashing campaign as part of their efforts
8 All activities in schools should include handwashing activities and application of a school attendance record book to monitor changes in attendance attributable to the lessons of the campaign
In ESPrsquos 2007 Annual Work Plan the operationalization of these opportunities are presented using the integrated approaches developed by the project to describe programs
1 Blue Thread In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Locations include Krueng Aceh DAS Deli Padang Cianjur Subang Progo and the Upper Brantas
2 Clean Green and Hygiene ndash including sanitation systems This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Regional examples include Sunggal Wonokromo and Taman Sari
3 Anchor Projects In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - would be directed at a single community to enable its comprehensive transformation and development In this approach the findings of Participatory Rural Appraisals (PRAs) serve as the flexible entry point to the community Several locations are being developed and are represented in the second annual work plan
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43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
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position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
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As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
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sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
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plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
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APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
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APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
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This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
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APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
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Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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TABLE OF CONTENTS
LIST OF BOXES II
LIST OF DIAGRAMS III
LIST OF ACRONYMS IV
1 INTRODUCTION 1
2 ACKNOWLEDGEMENTS 1
3 ANALYSIS OF THE CURRENT SITUATION 2
4 MAXIMIZING INTEGRATION OF ENVIRONMENT AND HEALTH 3
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS 4 42 INTEGRATION IN REGIONS6 43 INTEGRATION IN COMMUNITIES 8 44 WORKPLANNING FOR INTEGRATION9
5 TRAINING AND CAPACITY BUILDING9
6 CONCLUSIONS11
APPENDICES 13
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash
AUGUSTSEPTEMBER 2006 14 APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE 16 APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY
REGIONAL TEAMS 24 APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE 30 APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND
HYGIENE COORDINATOR 31 APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION 37
LIST OF BOXES BOX 1 CLEAN GREEN AND HEALTHY ESP FIELD SCHOOL 3 BOX 2 FORMATIVE RESEARCH UNITES HEALTH HYGIENE MEDIA AND OUTREACH5 BOX 3 SERVICE DELIVERY COMMUNITY-BASED SOLID WASTE AND HEALTH AND HYGIENE SPECIALISTS
COLLABORATE TO INCREASE WATER SUPPLY FOR THE URBAN POOR6 BOX 4 COMMERCIALIZING AIR RAHMAT IN MEKARJAYA8 BOX 5 REOPENING SANITATION CLINICS IN MEULABOH8 BOX 6 COLLABORATION ON HANDWASHING CAMPAIGNS IN ACEH9 BOX 7 HANDWASHING PUPPET SHOW ENGAGES CHILDREN IN CONTEST 10 BOX 8 HANDWASHING WITH SOAP CORRELATED WITH DECREASED SCHOOL ABSENTEEISM 11
LIST OF DIAGRAMS DIAGRAM 1 ESPrsquoS INTEGRATED APPROACH TO COMMUNITY DEVELOPMENT FROM THE ESP FIELD SCHOOL
TO PARTNER ADOPTION4 DIAGRAM 2 STRATEGIC COMMUNICATION FRAMEWORK FOR ESP5
LIST OF ACRONYMS ASA AIDS Prevention Program BHS Basic Health Services CB Community-Based DBE Decentralized Basic Education ESP Environmental Services Program FSN Food Security and Nutrition Program HIF Hygiene Improvement Framework HSP Health Services Program JHUCCP Johns Hopkins UniversityCenter for Communication Programs MMC Multi-Media Campaign NGO Non-Governmental Organization NRM Natural Resources Management PDAM Perusahaan Daerah Air Minum PMP Performance Monitoring Plan POC Public Outreach and Communication POU Point-of-Use SD Service Delivery SO Strategic Objective SWSSafe Water Systems Project TOT Training of Trainer USAID United States Agency for International Development WATSAN Water and Sanitation WSM Watershed Management and Biodiversity Conservation
1 INTRODUCTION From August 19-September 15 2006 Dr Christopher McGahey worked with a wide cross-section of project staff providing technical input and support to the annual work planning process of USAIDIndonesiarsquos Environmental Services Program (ESP) The objective of the assignment was to identify opportunities and define multi-sectoral activities which strengthen the projectrsquos contribution to diarrhea prevention especially for vulnerable women young children and poor families The outputs of the assignment are contained in this report and include specific recommendations to maximize project interventions between environment and health in the ESP 2007 Workplan training and capacity building for ESP field staff and presentations of findings to USAIDBasic Health Services (BHS) staff and partners (Health Services Program (HSP) Safe Water System project (SWS) and Food Security and Nutrition (FSN)) The Scope of Work for the assignment is presented in Appendix 1 To accomplish the objectives of the consultancy Dr McGahey worked closely with the Jakarta-based Health Communication Coordinator and the Public Outreach and Communication Coordinator participated in region-level work planning meetings and contributed to island-wide work planning meetings on Java and Sumatra Field visits were made to ESP regional offices in East Java Province (Surabaya) North Sumatra Province (Medan) West Java Province (Bandung) and Central Java Province (Yokyakarta) Documents reviewed a list of those met and the consultancy schedule are presented in Appendix 2
2 ACKNOWLEDGEMENTS This consultancy builds on the proposals made during Dr McGaheyrsquos work with ESP project staff in early 2006 An enormous amount of credit goes to these staff as they have applied their professional insights and experience to the proposals and they have adapted them to create a program of integrated activities that with time and determination will reduce diarrheal diseases in Indonesia Dr McGahey is grateful for their dedication to purpose and their creativity in developing opportunities to integrate water management environmental improvement and diarrhea prevention Moreover he thanks them for their collegiality and good humor and congratulates them for their growth as individuals and professionals during the interval between consultancies
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
3 ANALYSIS OF THE CURRENT SITUATION
ESP is by design a program that promotes the integration of its technical specialties in watershed management institutional strengthening infrastructure construction community organization spatial planning local government engagement strategic communication and environmental improvement to achieve unified objectives Achieving such integration is a challenge in any setting but the professional staff of the program have begun to make it happen in Indonesian communities This report describes the authorrsquos second consultancy to the program in support of making integration of specialties the ESP norm and he has noticed considerable advancement in the staffrsquos ability to conceptualize and develop integrated activities since his first consultancy 7 months ago While working with the staff he has clearly seen how their thinking has evolved from the narrow technically-defined ldquosilosrdquo noted in the report from the first visit to a ldquosilos+rdquo way of working By this the author means that staff are achieving the outcomes that are directly related to their technical component their ldquosilosrdquo while simultaneously identifying and initiating collaborative activities with their colleagues from other specialties to contribute to the critical outcome of reducing diarrhea in children under the age of 3 ESPrsquos staff have been a high performance group since the project began and they now have great confidence in knowing how to achieve the outcomes established for their technical specialty In the next year the staff will be expected to continue contributing toward their technical outcomes while also working closely together to transform targeted locations by realistically operationalizing and gaining the benefits from the synergies between their talents The work plans which are emerging from current discussions will clearly reflect this new ldquosilos+rdquo approach Their preparation has not been easy for the staff as it has forced them to internalize a more complex way of viewing their daily activities In the next project year each staff member will learn how to make this increased complexity part of their everyday work In this way the entire program will live up to and make real its vision of
ldquopromoting better health through integration of improved water resources management and increased access to clean
water and sanitation servicesrdquo with a constant eye toward significantly contributing to USAIDIndonesiarsquos strategic objective indicator of
Reducing the proportion of children aged 0 - 35 months who had diarrhea at any time in the two week period prior
to any survey
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4 MAXIMIZING INTEGRATION OF ENVIRONMENT AND HEALTH
Multi-sectoral integration is a challenge anywhere in the world Consensus surrounds applying it as a unifying concept but operationalizing it for synergistic success on the ground is very rare ESP is poised to establish and document this integration as a normal way of practice but it has not yet fully caught on as a core consideration in activity design and implementation The creation of ESPrsquos 2007 Annual Work Plan offers the opportunity to fully engage national and regional staff in identifying - for each proposed activity - ways in which the full range of ESPrsquos technical expertise can be mobilized in targeted communities to simultaneously improve environmental protection and human health ESPrsquos commitment to cross-sectoral integration is best captured in the design and conduct of the recently concluded Watershed Management Farmer Field School training of trainers activity The Field School approach to community-based agricultural management is well established in Indonesia ESP has adapted a conventional agro-environmental content to include sanitation and hygiene as described in the following box
Box 1 Clean Green and Healthy ESP Field School
But ESP staff have not kept up fully with the content of the ESP Field School curriculum They have not yet fully internalized this integrated approach into their daily work Collaborative efforts have happened during the past six months but they have largely been collaboration-for-convenience rather than planned shared activities where the teams consciously engage their colleagues to consistently ensure that environmental protection infrastructure improvement utility operations hygiene improvement and public outreach are coordinated in specific locations to achieve multiple results In developing the 2007 Annual Work Plan emphasis has been placed on the consistent application of the full integrated approach and curriculum developed for and used at the ESP Field School TOT as the principal guide for future field activities The expected contribution from Field Schools and from ESPrsquos adoption of its approach to the 2007 program is illustrated in the following diagram
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Diagram 1 ESPrsquos Integrated Approach to Community Development from the ESP Field School to Partner Adoption A key advantage to orienting work toward the ESP Field School concept will be establishing a unified approach to working with external partners at the community level This shared approach will eliminate the contrasting approaches currently followed by different staff ndash each health and hygiene professional service delivery staff and watershed management staff has herhis own way to engage communities and local government to facilitate integration The Field School approach is most consistent with that currently used by the wateshed management team members It is anticipated in the next year that this integration ndash consistent with the core theme of the ESP Field School training of trainers ndash will be implemented directly at the regional level with coordinated support from national-level staff At the same time it is being proposed in the preparation of the work plan that the national level staff in each of ESPrsquos main technical components work in more coordinated ways to ensure unified support to regional programs
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS
Over the past 20 years health communicators have concluded that collaboratively designed multi-dimensional communication programs best improve human health by strategically addressing the motivators that guide people to change their behavior Well-developed communication strategies provide coherence for a health programrsquos activities guiding it toward its goals For ESP strategic communication ndash an integration of the talents of the
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POC and Health and Hygiene groups - is the glue that holds the program together and the portrayor of a consistent vision that ties together the programrsquos multi-faceted activities Strategic communication is characterized by multichannel integration multiplicity of stakeholders specific attention to evaluation and evidence-based programming and balancing large-scale impact at the national level through use of mass media with site-specific impact at the community level through use of locally appropriate communication channels In August 2006 a Strategic Framework was developed to guide implementation of a strategic communication program for the coming year The framework is shown in the following graphic
TO INCREASE WATER MANAGEMENT amp HYGIENE PRACTICES TO DECREASE DIARRHEA
MASS MEDIA amp MASS MEDIA amp ADVOCACYADVOCACY
SCHOOLSCHOOL
LOGO - SLOGAN
TV amp RADIO SPOTS
PRESS COVERAGE
HEALTH FESTIVALSBCC DEMOS SHOWS
EE AWARDS
EDUCATIONAL MATERIALS
PRIVATE PUBLICPARTNERSHIP
HAND WASHING SOAP STATIONS
STRENGTHENING NETWORKS
MainMain StrategicStrategic ComponentsComponents
INSPIRATIONAL LIFE STORIES
PROMO MATERIALS
CLEAN CLEAN COMMUNITYCOMMUNITY
Main Strategic ComponentsMain Strategic Components
E amp H CURRICULUM
CHILD-TO-CHILD
SANITATION amp WASTE MGT
ADOPT A SCHOOL
BUSINESS JOURNAL
Entertainment-Education
SMALL ENTREPRENOURS
Diagram 2 Strategic Communication Framework for ESP
Many of the activities in the lowest tier of boxes have been implemented by ESP during its first 18 months However during that time they were not coordinated messages were not consistent timing of media features was not supportive of field activities and the Health and Hygiene program was on a parallel but disconnected path regarding communication of messages to that of the Public Outreach and Communication specialists Their cooperation on implementing the communication formative research served to break through some of this previous ldquosiloingrdquo between the two components
Box 2 Formative Research Unites Health Hygiene Media and Outreach
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During this consultancy the communication framework was used to guide the preparation of a shared POC and Health and Hygiene work plan for Strategic Communication for Behavior Change that more closely integrates the two aspects of the project particularly at the national level The first draft of the Health and Hygiene Communication Coordinatorrsquos work plan that was later refined and merged with that of the POC is shown in Appendix 5 Key changes reflected in the work plan include the following 1) ldquoWater Quality and Healthrdquo as the major national and regional campaign with
communication targeted by POC toward a) Community campaigns b) Schools c) Local leadersmass media d) Local government
2) Public-private partnerships being maximized to leverage private sector investment in support of communication objectives a) Paper placement b) Media adoption and subsequent collection of funds from their readers to support
community activities 3) Significantly closer and more flexible coordination between public outreach health and
communication staff at the national level 4) High demand for integration between POC and HH staff operationally in each regional
office a) POC wants to be a valued source of information by the media b) POC staff need to be investigative journalist within ESP to identify and dig into
possible stories from among the many project activities
42 INTEGRATION IN REGIONS Integration between ESP component specialists is most important at the regional level The project has had several successful collaborations to date but much room exists to expand the number of opportunities where complementary specialties can be integrated for expanded project success One example of strong integration is described in the following box
Box 3 Service Delivery Community-based Solid Waste and Health and Hygiene
Specialists Collaborate to Increase Water Supply for the Urban Poor
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During the current consultancy numerous opportunities were found where program integration could occur better among regional-level specialists These were identified discussed with the relevant component specialists and captured in the integrated work plans prepared by regional staff for inclusion in the 2007 Annual Work Plan for ESP Several opportunities were identified repeatedly in preliminary workplan review as those where integration ndash and particularly the integration of Health and Hygiene staff ndash would likely lead to more beneficial outcomes These common opportunities include
1 Including appropriate hygiene instruction in all community-level participatory activities including assessments training and mobilization
2 Incorporating the content of the Health and Hygiene component from the ESP Field School training of trainers in all related field activities
3 Including a targeted diarrhea prevention module in all training courses designed or supported for PDAM staff from senior management to treatment facility operators
4 Geolocating all posyandus serving target communities during GIS and sanitation mapping exercises to facilitate monitoring of diarrhea reduction
5 Integrate Health and Hygiene behavior change activities into every implementation of Sub-Task SD 3-1 (Encourage and Increase Piped (PDAM) Water Access for the Urban Poor)
6 Always including handwashing promotional activites with community-based solid waste activities as ldquoClean Green and Hygienerdquo integrated approaches
7 All ldquoPride Campaignsrdquo are to include at least one handwashing campaign as part of their efforts
8 All activities in schools should include handwashing activities and application of a school attendance record book to monitor changes in attendance attributable to the lessons of the campaign
In ESPrsquos 2007 Annual Work Plan the operationalization of these opportunities are presented using the integrated approaches developed by the project to describe programs
1 Blue Thread In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Locations include Krueng Aceh DAS Deli Padang Cianjur Subang Progo and the Upper Brantas
2 Clean Green and Hygiene ndash including sanitation systems This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Regional examples include Sunggal Wonokromo and Taman Sari
3 Anchor Projects In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - would be directed at a single community to enable its comprehensive transformation and development In this approach the findings of Participatory Rural Appraisals (PRAs) serve as the flexible entry point to the community Several locations are being developed and are represented in the second annual work plan
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43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
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position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
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As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
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sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
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plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
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APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
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APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
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This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
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APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
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Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
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bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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LIST OF BOXES BOX 1 CLEAN GREEN AND HEALTHY ESP FIELD SCHOOL 3 BOX 2 FORMATIVE RESEARCH UNITES HEALTH HYGIENE MEDIA AND OUTREACH5 BOX 3 SERVICE DELIVERY COMMUNITY-BASED SOLID WASTE AND HEALTH AND HYGIENE SPECIALISTS
COLLABORATE TO INCREASE WATER SUPPLY FOR THE URBAN POOR6 BOX 4 COMMERCIALIZING AIR RAHMAT IN MEKARJAYA8 BOX 5 REOPENING SANITATION CLINICS IN MEULABOH8 BOX 6 COLLABORATION ON HANDWASHING CAMPAIGNS IN ACEH9 BOX 7 HANDWASHING PUPPET SHOW ENGAGES CHILDREN IN CONTEST 10 BOX 8 HANDWASHING WITH SOAP CORRELATED WITH DECREASED SCHOOL ABSENTEEISM 11
LIST OF DIAGRAMS DIAGRAM 1 ESPrsquoS INTEGRATED APPROACH TO COMMUNITY DEVELOPMENT FROM THE ESP FIELD SCHOOL
TO PARTNER ADOPTION4 DIAGRAM 2 STRATEGIC COMMUNICATION FRAMEWORK FOR ESP5
LIST OF ACRONYMS ASA AIDS Prevention Program BHS Basic Health Services CB Community-Based DBE Decentralized Basic Education ESP Environmental Services Program FSN Food Security and Nutrition Program HIF Hygiene Improvement Framework HSP Health Services Program JHUCCP Johns Hopkins UniversityCenter for Communication Programs MMC Multi-Media Campaign NGO Non-Governmental Organization NRM Natural Resources Management PDAM Perusahaan Daerah Air Minum PMP Performance Monitoring Plan POC Public Outreach and Communication POU Point-of-Use SD Service Delivery SO Strategic Objective SWSSafe Water Systems Project TOT Training of Trainer USAID United States Agency for International Development WATSAN Water and Sanitation WSM Watershed Management and Biodiversity Conservation
1 INTRODUCTION From August 19-September 15 2006 Dr Christopher McGahey worked with a wide cross-section of project staff providing technical input and support to the annual work planning process of USAIDIndonesiarsquos Environmental Services Program (ESP) The objective of the assignment was to identify opportunities and define multi-sectoral activities which strengthen the projectrsquos contribution to diarrhea prevention especially for vulnerable women young children and poor families The outputs of the assignment are contained in this report and include specific recommendations to maximize project interventions between environment and health in the ESP 2007 Workplan training and capacity building for ESP field staff and presentations of findings to USAIDBasic Health Services (BHS) staff and partners (Health Services Program (HSP) Safe Water System project (SWS) and Food Security and Nutrition (FSN)) The Scope of Work for the assignment is presented in Appendix 1 To accomplish the objectives of the consultancy Dr McGahey worked closely with the Jakarta-based Health Communication Coordinator and the Public Outreach and Communication Coordinator participated in region-level work planning meetings and contributed to island-wide work planning meetings on Java and Sumatra Field visits were made to ESP regional offices in East Java Province (Surabaya) North Sumatra Province (Medan) West Java Province (Bandung) and Central Java Province (Yokyakarta) Documents reviewed a list of those met and the consultancy schedule are presented in Appendix 2
2 ACKNOWLEDGEMENTS This consultancy builds on the proposals made during Dr McGaheyrsquos work with ESP project staff in early 2006 An enormous amount of credit goes to these staff as they have applied their professional insights and experience to the proposals and they have adapted them to create a program of integrated activities that with time and determination will reduce diarrheal diseases in Indonesia Dr McGahey is grateful for their dedication to purpose and their creativity in developing opportunities to integrate water management environmental improvement and diarrhea prevention Moreover he thanks them for their collegiality and good humor and congratulates them for their growth as individuals and professionals during the interval between consultancies
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
3 ANALYSIS OF THE CURRENT SITUATION
ESP is by design a program that promotes the integration of its technical specialties in watershed management institutional strengthening infrastructure construction community organization spatial planning local government engagement strategic communication and environmental improvement to achieve unified objectives Achieving such integration is a challenge in any setting but the professional staff of the program have begun to make it happen in Indonesian communities This report describes the authorrsquos second consultancy to the program in support of making integration of specialties the ESP norm and he has noticed considerable advancement in the staffrsquos ability to conceptualize and develop integrated activities since his first consultancy 7 months ago While working with the staff he has clearly seen how their thinking has evolved from the narrow technically-defined ldquosilosrdquo noted in the report from the first visit to a ldquosilos+rdquo way of working By this the author means that staff are achieving the outcomes that are directly related to their technical component their ldquosilosrdquo while simultaneously identifying and initiating collaborative activities with their colleagues from other specialties to contribute to the critical outcome of reducing diarrhea in children under the age of 3 ESPrsquos staff have been a high performance group since the project began and they now have great confidence in knowing how to achieve the outcomes established for their technical specialty In the next year the staff will be expected to continue contributing toward their technical outcomes while also working closely together to transform targeted locations by realistically operationalizing and gaining the benefits from the synergies between their talents The work plans which are emerging from current discussions will clearly reflect this new ldquosilos+rdquo approach Their preparation has not been easy for the staff as it has forced them to internalize a more complex way of viewing their daily activities In the next project year each staff member will learn how to make this increased complexity part of their everyday work In this way the entire program will live up to and make real its vision of
ldquopromoting better health through integration of improved water resources management and increased access to clean
water and sanitation servicesrdquo with a constant eye toward significantly contributing to USAIDIndonesiarsquos strategic objective indicator of
Reducing the proportion of children aged 0 - 35 months who had diarrhea at any time in the two week period prior
to any survey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 2
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
4 MAXIMIZING INTEGRATION OF ENVIRONMENT AND HEALTH
Multi-sectoral integration is a challenge anywhere in the world Consensus surrounds applying it as a unifying concept but operationalizing it for synergistic success on the ground is very rare ESP is poised to establish and document this integration as a normal way of practice but it has not yet fully caught on as a core consideration in activity design and implementation The creation of ESPrsquos 2007 Annual Work Plan offers the opportunity to fully engage national and regional staff in identifying - for each proposed activity - ways in which the full range of ESPrsquos technical expertise can be mobilized in targeted communities to simultaneously improve environmental protection and human health ESPrsquos commitment to cross-sectoral integration is best captured in the design and conduct of the recently concluded Watershed Management Farmer Field School training of trainers activity The Field School approach to community-based agricultural management is well established in Indonesia ESP has adapted a conventional agro-environmental content to include sanitation and hygiene as described in the following box
Box 1 Clean Green and Healthy ESP Field School
But ESP staff have not kept up fully with the content of the ESP Field School curriculum They have not yet fully internalized this integrated approach into their daily work Collaborative efforts have happened during the past six months but they have largely been collaboration-for-convenience rather than planned shared activities where the teams consciously engage their colleagues to consistently ensure that environmental protection infrastructure improvement utility operations hygiene improvement and public outreach are coordinated in specific locations to achieve multiple results In developing the 2007 Annual Work Plan emphasis has been placed on the consistent application of the full integrated approach and curriculum developed for and used at the ESP Field School TOT as the principal guide for future field activities The expected contribution from Field Schools and from ESPrsquos adoption of its approach to the 2007 program is illustrated in the following diagram
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 3
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Diagram 1 ESPrsquos Integrated Approach to Community Development from the ESP Field School to Partner Adoption A key advantage to orienting work toward the ESP Field School concept will be establishing a unified approach to working with external partners at the community level This shared approach will eliminate the contrasting approaches currently followed by different staff ndash each health and hygiene professional service delivery staff and watershed management staff has herhis own way to engage communities and local government to facilitate integration The Field School approach is most consistent with that currently used by the wateshed management team members It is anticipated in the next year that this integration ndash consistent with the core theme of the ESP Field School training of trainers ndash will be implemented directly at the regional level with coordinated support from national-level staff At the same time it is being proposed in the preparation of the work plan that the national level staff in each of ESPrsquos main technical components work in more coordinated ways to ensure unified support to regional programs
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS
Over the past 20 years health communicators have concluded that collaboratively designed multi-dimensional communication programs best improve human health by strategically addressing the motivators that guide people to change their behavior Well-developed communication strategies provide coherence for a health programrsquos activities guiding it toward its goals For ESP strategic communication ndash an integration of the talents of the
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 4
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
POC and Health and Hygiene groups - is the glue that holds the program together and the portrayor of a consistent vision that ties together the programrsquos multi-faceted activities Strategic communication is characterized by multichannel integration multiplicity of stakeholders specific attention to evaluation and evidence-based programming and balancing large-scale impact at the national level through use of mass media with site-specific impact at the community level through use of locally appropriate communication channels In August 2006 a Strategic Framework was developed to guide implementation of a strategic communication program for the coming year The framework is shown in the following graphic
TO INCREASE WATER MANAGEMENT amp HYGIENE PRACTICES TO DECREASE DIARRHEA
MASS MEDIA amp MASS MEDIA amp ADVOCACYADVOCACY
SCHOOLSCHOOL
LOGO - SLOGAN
TV amp RADIO SPOTS
PRESS COVERAGE
HEALTH FESTIVALSBCC DEMOS SHOWS
EE AWARDS
EDUCATIONAL MATERIALS
PRIVATE PUBLICPARTNERSHIP
HAND WASHING SOAP STATIONS
STRENGTHENING NETWORKS
MainMain StrategicStrategic ComponentsComponents
INSPIRATIONAL LIFE STORIES
PROMO MATERIALS
CLEAN CLEAN COMMUNITYCOMMUNITY
Main Strategic ComponentsMain Strategic Components
E amp H CURRICULUM
CHILD-TO-CHILD
SANITATION amp WASTE MGT
ADOPT A SCHOOL
BUSINESS JOURNAL
Entertainment-Education
SMALL ENTREPRENOURS
Diagram 2 Strategic Communication Framework for ESP
Many of the activities in the lowest tier of boxes have been implemented by ESP during its first 18 months However during that time they were not coordinated messages were not consistent timing of media features was not supportive of field activities and the Health and Hygiene program was on a parallel but disconnected path regarding communication of messages to that of the Public Outreach and Communication specialists Their cooperation on implementing the communication formative research served to break through some of this previous ldquosiloingrdquo between the two components
Box 2 Formative Research Unites Health Hygiene Media and Outreach
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During this consultancy the communication framework was used to guide the preparation of a shared POC and Health and Hygiene work plan for Strategic Communication for Behavior Change that more closely integrates the two aspects of the project particularly at the national level The first draft of the Health and Hygiene Communication Coordinatorrsquos work plan that was later refined and merged with that of the POC is shown in Appendix 5 Key changes reflected in the work plan include the following 1) ldquoWater Quality and Healthrdquo as the major national and regional campaign with
communication targeted by POC toward a) Community campaigns b) Schools c) Local leadersmass media d) Local government
2) Public-private partnerships being maximized to leverage private sector investment in support of communication objectives a) Paper placement b) Media adoption and subsequent collection of funds from their readers to support
community activities 3) Significantly closer and more flexible coordination between public outreach health and
communication staff at the national level 4) High demand for integration between POC and HH staff operationally in each regional
office a) POC wants to be a valued source of information by the media b) POC staff need to be investigative journalist within ESP to identify and dig into
possible stories from among the many project activities
42 INTEGRATION IN REGIONS Integration between ESP component specialists is most important at the regional level The project has had several successful collaborations to date but much room exists to expand the number of opportunities where complementary specialties can be integrated for expanded project success One example of strong integration is described in the following box
Box 3 Service Delivery Community-based Solid Waste and Health and Hygiene
Specialists Collaborate to Increase Water Supply for the Urban Poor
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During the current consultancy numerous opportunities were found where program integration could occur better among regional-level specialists These were identified discussed with the relevant component specialists and captured in the integrated work plans prepared by regional staff for inclusion in the 2007 Annual Work Plan for ESP Several opportunities were identified repeatedly in preliminary workplan review as those where integration ndash and particularly the integration of Health and Hygiene staff ndash would likely lead to more beneficial outcomes These common opportunities include
1 Including appropriate hygiene instruction in all community-level participatory activities including assessments training and mobilization
2 Incorporating the content of the Health and Hygiene component from the ESP Field School training of trainers in all related field activities
3 Including a targeted diarrhea prevention module in all training courses designed or supported for PDAM staff from senior management to treatment facility operators
4 Geolocating all posyandus serving target communities during GIS and sanitation mapping exercises to facilitate monitoring of diarrhea reduction
5 Integrate Health and Hygiene behavior change activities into every implementation of Sub-Task SD 3-1 (Encourage and Increase Piped (PDAM) Water Access for the Urban Poor)
6 Always including handwashing promotional activites with community-based solid waste activities as ldquoClean Green and Hygienerdquo integrated approaches
7 All ldquoPride Campaignsrdquo are to include at least one handwashing campaign as part of their efforts
8 All activities in schools should include handwashing activities and application of a school attendance record book to monitor changes in attendance attributable to the lessons of the campaign
In ESPrsquos 2007 Annual Work Plan the operationalization of these opportunities are presented using the integrated approaches developed by the project to describe programs
1 Blue Thread In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Locations include Krueng Aceh DAS Deli Padang Cianjur Subang Progo and the Upper Brantas
2 Clean Green and Hygiene ndash including sanitation systems This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Regional examples include Sunggal Wonokromo and Taman Sari
3 Anchor Projects In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - would be directed at a single community to enable its comprehensive transformation and development In this approach the findings of Participatory Rural Appraisals (PRAs) serve as the flexible entry point to the community Several locations are being developed and are represented in the second annual work plan
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43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
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position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
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As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
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APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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LIST OF DIAGRAMS DIAGRAM 1 ESPrsquoS INTEGRATED APPROACH TO COMMUNITY DEVELOPMENT FROM THE ESP FIELD SCHOOL
TO PARTNER ADOPTION4 DIAGRAM 2 STRATEGIC COMMUNICATION FRAMEWORK FOR ESP5
LIST OF ACRONYMS ASA AIDS Prevention Program BHS Basic Health Services CB Community-Based DBE Decentralized Basic Education ESP Environmental Services Program FSN Food Security and Nutrition Program HIF Hygiene Improvement Framework HSP Health Services Program JHUCCP Johns Hopkins UniversityCenter for Communication Programs MMC Multi-Media Campaign NGO Non-Governmental Organization NRM Natural Resources Management PDAM Perusahaan Daerah Air Minum PMP Performance Monitoring Plan POC Public Outreach and Communication POU Point-of-Use SD Service Delivery SO Strategic Objective SWSSafe Water Systems Project TOT Training of Trainer USAID United States Agency for International Development WATSAN Water and Sanitation WSM Watershed Management and Biodiversity Conservation
1 INTRODUCTION From August 19-September 15 2006 Dr Christopher McGahey worked with a wide cross-section of project staff providing technical input and support to the annual work planning process of USAIDIndonesiarsquos Environmental Services Program (ESP) The objective of the assignment was to identify opportunities and define multi-sectoral activities which strengthen the projectrsquos contribution to diarrhea prevention especially for vulnerable women young children and poor families The outputs of the assignment are contained in this report and include specific recommendations to maximize project interventions between environment and health in the ESP 2007 Workplan training and capacity building for ESP field staff and presentations of findings to USAIDBasic Health Services (BHS) staff and partners (Health Services Program (HSP) Safe Water System project (SWS) and Food Security and Nutrition (FSN)) The Scope of Work for the assignment is presented in Appendix 1 To accomplish the objectives of the consultancy Dr McGahey worked closely with the Jakarta-based Health Communication Coordinator and the Public Outreach and Communication Coordinator participated in region-level work planning meetings and contributed to island-wide work planning meetings on Java and Sumatra Field visits were made to ESP regional offices in East Java Province (Surabaya) North Sumatra Province (Medan) West Java Province (Bandung) and Central Java Province (Yokyakarta) Documents reviewed a list of those met and the consultancy schedule are presented in Appendix 2
2 ACKNOWLEDGEMENTS This consultancy builds on the proposals made during Dr McGaheyrsquos work with ESP project staff in early 2006 An enormous amount of credit goes to these staff as they have applied their professional insights and experience to the proposals and they have adapted them to create a program of integrated activities that with time and determination will reduce diarrheal diseases in Indonesia Dr McGahey is grateful for their dedication to purpose and their creativity in developing opportunities to integrate water management environmental improvement and diarrhea prevention Moreover he thanks them for their collegiality and good humor and congratulates them for their growth as individuals and professionals during the interval between consultancies
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
3 ANALYSIS OF THE CURRENT SITUATION
ESP is by design a program that promotes the integration of its technical specialties in watershed management institutional strengthening infrastructure construction community organization spatial planning local government engagement strategic communication and environmental improvement to achieve unified objectives Achieving such integration is a challenge in any setting but the professional staff of the program have begun to make it happen in Indonesian communities This report describes the authorrsquos second consultancy to the program in support of making integration of specialties the ESP norm and he has noticed considerable advancement in the staffrsquos ability to conceptualize and develop integrated activities since his first consultancy 7 months ago While working with the staff he has clearly seen how their thinking has evolved from the narrow technically-defined ldquosilosrdquo noted in the report from the first visit to a ldquosilos+rdquo way of working By this the author means that staff are achieving the outcomes that are directly related to their technical component their ldquosilosrdquo while simultaneously identifying and initiating collaborative activities with their colleagues from other specialties to contribute to the critical outcome of reducing diarrhea in children under the age of 3 ESPrsquos staff have been a high performance group since the project began and they now have great confidence in knowing how to achieve the outcomes established for their technical specialty In the next year the staff will be expected to continue contributing toward their technical outcomes while also working closely together to transform targeted locations by realistically operationalizing and gaining the benefits from the synergies between their talents The work plans which are emerging from current discussions will clearly reflect this new ldquosilos+rdquo approach Their preparation has not been easy for the staff as it has forced them to internalize a more complex way of viewing their daily activities In the next project year each staff member will learn how to make this increased complexity part of their everyday work In this way the entire program will live up to and make real its vision of
ldquopromoting better health through integration of improved water resources management and increased access to clean
water and sanitation servicesrdquo with a constant eye toward significantly contributing to USAIDIndonesiarsquos strategic objective indicator of
Reducing the proportion of children aged 0 - 35 months who had diarrhea at any time in the two week period prior
to any survey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 2
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
4 MAXIMIZING INTEGRATION OF ENVIRONMENT AND HEALTH
Multi-sectoral integration is a challenge anywhere in the world Consensus surrounds applying it as a unifying concept but operationalizing it for synergistic success on the ground is very rare ESP is poised to establish and document this integration as a normal way of practice but it has not yet fully caught on as a core consideration in activity design and implementation The creation of ESPrsquos 2007 Annual Work Plan offers the opportunity to fully engage national and regional staff in identifying - for each proposed activity - ways in which the full range of ESPrsquos technical expertise can be mobilized in targeted communities to simultaneously improve environmental protection and human health ESPrsquos commitment to cross-sectoral integration is best captured in the design and conduct of the recently concluded Watershed Management Farmer Field School training of trainers activity The Field School approach to community-based agricultural management is well established in Indonesia ESP has adapted a conventional agro-environmental content to include sanitation and hygiene as described in the following box
Box 1 Clean Green and Healthy ESP Field School
But ESP staff have not kept up fully with the content of the ESP Field School curriculum They have not yet fully internalized this integrated approach into their daily work Collaborative efforts have happened during the past six months but they have largely been collaboration-for-convenience rather than planned shared activities where the teams consciously engage their colleagues to consistently ensure that environmental protection infrastructure improvement utility operations hygiene improvement and public outreach are coordinated in specific locations to achieve multiple results In developing the 2007 Annual Work Plan emphasis has been placed on the consistent application of the full integrated approach and curriculum developed for and used at the ESP Field School TOT as the principal guide for future field activities The expected contribution from Field Schools and from ESPrsquos adoption of its approach to the 2007 program is illustrated in the following diagram
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 3
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Diagram 1 ESPrsquos Integrated Approach to Community Development from the ESP Field School to Partner Adoption A key advantage to orienting work toward the ESP Field School concept will be establishing a unified approach to working with external partners at the community level This shared approach will eliminate the contrasting approaches currently followed by different staff ndash each health and hygiene professional service delivery staff and watershed management staff has herhis own way to engage communities and local government to facilitate integration The Field School approach is most consistent with that currently used by the wateshed management team members It is anticipated in the next year that this integration ndash consistent with the core theme of the ESP Field School training of trainers ndash will be implemented directly at the regional level with coordinated support from national-level staff At the same time it is being proposed in the preparation of the work plan that the national level staff in each of ESPrsquos main technical components work in more coordinated ways to ensure unified support to regional programs
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS
Over the past 20 years health communicators have concluded that collaboratively designed multi-dimensional communication programs best improve human health by strategically addressing the motivators that guide people to change their behavior Well-developed communication strategies provide coherence for a health programrsquos activities guiding it toward its goals For ESP strategic communication ndash an integration of the talents of the
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 4
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
POC and Health and Hygiene groups - is the glue that holds the program together and the portrayor of a consistent vision that ties together the programrsquos multi-faceted activities Strategic communication is characterized by multichannel integration multiplicity of stakeholders specific attention to evaluation and evidence-based programming and balancing large-scale impact at the national level through use of mass media with site-specific impact at the community level through use of locally appropriate communication channels In August 2006 a Strategic Framework was developed to guide implementation of a strategic communication program for the coming year The framework is shown in the following graphic
TO INCREASE WATER MANAGEMENT amp HYGIENE PRACTICES TO DECREASE DIARRHEA
MASS MEDIA amp MASS MEDIA amp ADVOCACYADVOCACY
SCHOOLSCHOOL
LOGO - SLOGAN
TV amp RADIO SPOTS
PRESS COVERAGE
HEALTH FESTIVALSBCC DEMOS SHOWS
EE AWARDS
EDUCATIONAL MATERIALS
PRIVATE PUBLICPARTNERSHIP
HAND WASHING SOAP STATIONS
STRENGTHENING NETWORKS
MainMain StrategicStrategic ComponentsComponents
INSPIRATIONAL LIFE STORIES
PROMO MATERIALS
CLEAN CLEAN COMMUNITYCOMMUNITY
Main Strategic ComponentsMain Strategic Components
E amp H CURRICULUM
CHILD-TO-CHILD
SANITATION amp WASTE MGT
ADOPT A SCHOOL
BUSINESS JOURNAL
Entertainment-Education
SMALL ENTREPRENOURS
Diagram 2 Strategic Communication Framework for ESP
Many of the activities in the lowest tier of boxes have been implemented by ESP during its first 18 months However during that time they were not coordinated messages were not consistent timing of media features was not supportive of field activities and the Health and Hygiene program was on a parallel but disconnected path regarding communication of messages to that of the Public Outreach and Communication specialists Their cooperation on implementing the communication formative research served to break through some of this previous ldquosiloingrdquo between the two components
Box 2 Formative Research Unites Health Hygiene Media and Outreach
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 5
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During this consultancy the communication framework was used to guide the preparation of a shared POC and Health and Hygiene work plan for Strategic Communication for Behavior Change that more closely integrates the two aspects of the project particularly at the national level The first draft of the Health and Hygiene Communication Coordinatorrsquos work plan that was later refined and merged with that of the POC is shown in Appendix 5 Key changes reflected in the work plan include the following 1) ldquoWater Quality and Healthrdquo as the major national and regional campaign with
communication targeted by POC toward a) Community campaigns b) Schools c) Local leadersmass media d) Local government
2) Public-private partnerships being maximized to leverage private sector investment in support of communication objectives a) Paper placement b) Media adoption and subsequent collection of funds from their readers to support
community activities 3) Significantly closer and more flexible coordination between public outreach health and
communication staff at the national level 4) High demand for integration between POC and HH staff operationally in each regional
office a) POC wants to be a valued source of information by the media b) POC staff need to be investigative journalist within ESP to identify and dig into
possible stories from among the many project activities
42 INTEGRATION IN REGIONS Integration between ESP component specialists is most important at the regional level The project has had several successful collaborations to date but much room exists to expand the number of opportunities where complementary specialties can be integrated for expanded project success One example of strong integration is described in the following box
Box 3 Service Delivery Community-based Solid Waste and Health and Hygiene
Specialists Collaborate to Increase Water Supply for the Urban Poor
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 6
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During the current consultancy numerous opportunities were found where program integration could occur better among regional-level specialists These were identified discussed with the relevant component specialists and captured in the integrated work plans prepared by regional staff for inclusion in the 2007 Annual Work Plan for ESP Several opportunities were identified repeatedly in preliminary workplan review as those where integration ndash and particularly the integration of Health and Hygiene staff ndash would likely lead to more beneficial outcomes These common opportunities include
1 Including appropriate hygiene instruction in all community-level participatory activities including assessments training and mobilization
2 Incorporating the content of the Health and Hygiene component from the ESP Field School training of trainers in all related field activities
3 Including a targeted diarrhea prevention module in all training courses designed or supported for PDAM staff from senior management to treatment facility operators
4 Geolocating all posyandus serving target communities during GIS and sanitation mapping exercises to facilitate monitoring of diarrhea reduction
5 Integrate Health and Hygiene behavior change activities into every implementation of Sub-Task SD 3-1 (Encourage and Increase Piped (PDAM) Water Access for the Urban Poor)
6 Always including handwashing promotional activites with community-based solid waste activities as ldquoClean Green and Hygienerdquo integrated approaches
7 All ldquoPride Campaignsrdquo are to include at least one handwashing campaign as part of their efforts
8 All activities in schools should include handwashing activities and application of a school attendance record book to monitor changes in attendance attributable to the lessons of the campaign
In ESPrsquos 2007 Annual Work Plan the operationalization of these opportunities are presented using the integrated approaches developed by the project to describe programs
1 Blue Thread In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Locations include Krueng Aceh DAS Deli Padang Cianjur Subang Progo and the Upper Brantas
2 Clean Green and Hygiene ndash including sanitation systems This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Regional examples include Sunggal Wonokromo and Taman Sari
3 Anchor Projects In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - would be directed at a single community to enable its comprehensive transformation and development In this approach the findings of Participatory Rural Appraisals (PRAs) serve as the flexible entry point to the community Several locations are being developed and are represented in the second annual work plan
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 8
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 9
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 10
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 11
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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 KOR 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 PTB ltFEFF005500740069006c0069007a006500200065007300730061007300200063006f006e00660069006700750072006100e700f50065007300200064006500200066006f0072006d00610020006100200063007200690061007200200064006f00630075006d0065006e0074006f0073002000410064006f0062006500200050004400460020007000610072006100200069006d0070007200650073007300f5006500730020006400650020007100750061006c0069006400610064006500200065006d00200069006d00700072006500730073006f0072006100730020006400650073006b0074006f00700020006500200064006900730070006f00730069007400690076006f0073002000640065002000700072006f00760061002e0020004f007300200064006f00630075006d0065006e0074006f00730020005000440046002000630072006900610064006f007300200070006f00640065006d0020007300650072002000610062006500720074006f007300200063006f006d0020006f0020004100630072006f006200610074002000650020006f002000410064006f00620065002000520065006100640065007200200035002e0030002000650020007600650072007300f50065007300200070006f00730074006500720069006f007200650073002egt SUO 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ltFEFF0041006e007600e4006e00640020006400650020006800e4007200200069006e0073007400e4006c006c006e0069006e006700610072006e00610020006f006d002000640075002000760069006c006c00200073006b006100700061002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e00740020006600f600720020006b00760061006c00690074006500740073007500740073006b0072006900660074006500720020007000e5002000760061006e006c00690067006100200073006b0072006900760061007200650020006f006300680020006600f600720020006b006f007200720065006b007400750072002e002000200053006b006100700061006400650020005000440046002d0064006f006b0075006d0065006e00740020006b0061006e002000f600700070006e00610073002000690020004100630072006f0062006100740020006f00630068002000410064006f00620065002000520065006100640065007200200035002e00300020006f00630068002000730065006e006100720065002egt ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 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LIST OF ACRONYMS ASA AIDS Prevention Program BHS Basic Health Services CB Community-Based DBE Decentralized Basic Education ESP Environmental Services Program FSN Food Security and Nutrition Program HIF Hygiene Improvement Framework HSP Health Services Program JHUCCP Johns Hopkins UniversityCenter for Communication Programs MMC Multi-Media Campaign NGO Non-Governmental Organization NRM Natural Resources Management PDAM Perusahaan Daerah Air Minum PMP Performance Monitoring Plan POC Public Outreach and Communication POU Point-of-Use SD Service Delivery SO Strategic Objective SWSSafe Water Systems Project TOT Training of Trainer USAID United States Agency for International Development WATSAN Water and Sanitation WSM Watershed Management and Biodiversity Conservation
1 INTRODUCTION From August 19-September 15 2006 Dr Christopher McGahey worked with a wide cross-section of project staff providing technical input and support to the annual work planning process of USAIDIndonesiarsquos Environmental Services Program (ESP) The objective of the assignment was to identify opportunities and define multi-sectoral activities which strengthen the projectrsquos contribution to diarrhea prevention especially for vulnerable women young children and poor families The outputs of the assignment are contained in this report and include specific recommendations to maximize project interventions between environment and health in the ESP 2007 Workplan training and capacity building for ESP field staff and presentations of findings to USAIDBasic Health Services (BHS) staff and partners (Health Services Program (HSP) Safe Water System project (SWS) and Food Security and Nutrition (FSN)) The Scope of Work for the assignment is presented in Appendix 1 To accomplish the objectives of the consultancy Dr McGahey worked closely with the Jakarta-based Health Communication Coordinator and the Public Outreach and Communication Coordinator participated in region-level work planning meetings and contributed to island-wide work planning meetings on Java and Sumatra Field visits were made to ESP regional offices in East Java Province (Surabaya) North Sumatra Province (Medan) West Java Province (Bandung) and Central Java Province (Yokyakarta) Documents reviewed a list of those met and the consultancy schedule are presented in Appendix 2
2 ACKNOWLEDGEMENTS This consultancy builds on the proposals made during Dr McGaheyrsquos work with ESP project staff in early 2006 An enormous amount of credit goes to these staff as they have applied their professional insights and experience to the proposals and they have adapted them to create a program of integrated activities that with time and determination will reduce diarrheal diseases in Indonesia Dr McGahey is grateful for their dedication to purpose and their creativity in developing opportunities to integrate water management environmental improvement and diarrhea prevention Moreover he thanks them for their collegiality and good humor and congratulates them for their growth as individuals and professionals during the interval between consultancies
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
3 ANALYSIS OF THE CURRENT SITUATION
ESP is by design a program that promotes the integration of its technical specialties in watershed management institutional strengthening infrastructure construction community organization spatial planning local government engagement strategic communication and environmental improvement to achieve unified objectives Achieving such integration is a challenge in any setting but the professional staff of the program have begun to make it happen in Indonesian communities This report describes the authorrsquos second consultancy to the program in support of making integration of specialties the ESP norm and he has noticed considerable advancement in the staffrsquos ability to conceptualize and develop integrated activities since his first consultancy 7 months ago While working with the staff he has clearly seen how their thinking has evolved from the narrow technically-defined ldquosilosrdquo noted in the report from the first visit to a ldquosilos+rdquo way of working By this the author means that staff are achieving the outcomes that are directly related to their technical component their ldquosilosrdquo while simultaneously identifying and initiating collaborative activities with their colleagues from other specialties to contribute to the critical outcome of reducing diarrhea in children under the age of 3 ESPrsquos staff have been a high performance group since the project began and they now have great confidence in knowing how to achieve the outcomes established for their technical specialty In the next year the staff will be expected to continue contributing toward their technical outcomes while also working closely together to transform targeted locations by realistically operationalizing and gaining the benefits from the synergies between their talents The work plans which are emerging from current discussions will clearly reflect this new ldquosilos+rdquo approach Their preparation has not been easy for the staff as it has forced them to internalize a more complex way of viewing their daily activities In the next project year each staff member will learn how to make this increased complexity part of their everyday work In this way the entire program will live up to and make real its vision of
ldquopromoting better health through integration of improved water resources management and increased access to clean
water and sanitation servicesrdquo with a constant eye toward significantly contributing to USAIDIndonesiarsquos strategic objective indicator of
Reducing the proportion of children aged 0 - 35 months who had diarrhea at any time in the two week period prior
to any survey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 2
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
4 MAXIMIZING INTEGRATION OF ENVIRONMENT AND HEALTH
Multi-sectoral integration is a challenge anywhere in the world Consensus surrounds applying it as a unifying concept but operationalizing it for synergistic success on the ground is very rare ESP is poised to establish and document this integration as a normal way of practice but it has not yet fully caught on as a core consideration in activity design and implementation The creation of ESPrsquos 2007 Annual Work Plan offers the opportunity to fully engage national and regional staff in identifying - for each proposed activity - ways in which the full range of ESPrsquos technical expertise can be mobilized in targeted communities to simultaneously improve environmental protection and human health ESPrsquos commitment to cross-sectoral integration is best captured in the design and conduct of the recently concluded Watershed Management Farmer Field School training of trainers activity The Field School approach to community-based agricultural management is well established in Indonesia ESP has adapted a conventional agro-environmental content to include sanitation and hygiene as described in the following box
Box 1 Clean Green and Healthy ESP Field School
But ESP staff have not kept up fully with the content of the ESP Field School curriculum They have not yet fully internalized this integrated approach into their daily work Collaborative efforts have happened during the past six months but they have largely been collaboration-for-convenience rather than planned shared activities where the teams consciously engage their colleagues to consistently ensure that environmental protection infrastructure improvement utility operations hygiene improvement and public outreach are coordinated in specific locations to achieve multiple results In developing the 2007 Annual Work Plan emphasis has been placed on the consistent application of the full integrated approach and curriculum developed for and used at the ESP Field School TOT as the principal guide for future field activities The expected contribution from Field Schools and from ESPrsquos adoption of its approach to the 2007 program is illustrated in the following diagram
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 3
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Diagram 1 ESPrsquos Integrated Approach to Community Development from the ESP Field School to Partner Adoption A key advantage to orienting work toward the ESP Field School concept will be establishing a unified approach to working with external partners at the community level This shared approach will eliminate the contrasting approaches currently followed by different staff ndash each health and hygiene professional service delivery staff and watershed management staff has herhis own way to engage communities and local government to facilitate integration The Field School approach is most consistent with that currently used by the wateshed management team members It is anticipated in the next year that this integration ndash consistent with the core theme of the ESP Field School training of trainers ndash will be implemented directly at the regional level with coordinated support from national-level staff At the same time it is being proposed in the preparation of the work plan that the national level staff in each of ESPrsquos main technical components work in more coordinated ways to ensure unified support to regional programs
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS
Over the past 20 years health communicators have concluded that collaboratively designed multi-dimensional communication programs best improve human health by strategically addressing the motivators that guide people to change their behavior Well-developed communication strategies provide coherence for a health programrsquos activities guiding it toward its goals For ESP strategic communication ndash an integration of the talents of the
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 4
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
POC and Health and Hygiene groups - is the glue that holds the program together and the portrayor of a consistent vision that ties together the programrsquos multi-faceted activities Strategic communication is characterized by multichannel integration multiplicity of stakeholders specific attention to evaluation and evidence-based programming and balancing large-scale impact at the national level through use of mass media with site-specific impact at the community level through use of locally appropriate communication channels In August 2006 a Strategic Framework was developed to guide implementation of a strategic communication program for the coming year The framework is shown in the following graphic
TO INCREASE WATER MANAGEMENT amp HYGIENE PRACTICES TO DECREASE DIARRHEA
MASS MEDIA amp MASS MEDIA amp ADVOCACYADVOCACY
SCHOOLSCHOOL
LOGO - SLOGAN
TV amp RADIO SPOTS
PRESS COVERAGE
HEALTH FESTIVALSBCC DEMOS SHOWS
EE AWARDS
EDUCATIONAL MATERIALS
PRIVATE PUBLICPARTNERSHIP
HAND WASHING SOAP STATIONS
STRENGTHENING NETWORKS
MainMain StrategicStrategic ComponentsComponents
INSPIRATIONAL LIFE STORIES
PROMO MATERIALS
CLEAN CLEAN COMMUNITYCOMMUNITY
Main Strategic ComponentsMain Strategic Components
E amp H CURRICULUM
CHILD-TO-CHILD
SANITATION amp WASTE MGT
ADOPT A SCHOOL
BUSINESS JOURNAL
Entertainment-Education
SMALL ENTREPRENOURS
Diagram 2 Strategic Communication Framework for ESP
Many of the activities in the lowest tier of boxes have been implemented by ESP during its first 18 months However during that time they were not coordinated messages were not consistent timing of media features was not supportive of field activities and the Health and Hygiene program was on a parallel but disconnected path regarding communication of messages to that of the Public Outreach and Communication specialists Their cooperation on implementing the communication formative research served to break through some of this previous ldquosiloingrdquo between the two components
Box 2 Formative Research Unites Health Hygiene Media and Outreach
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 5
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During this consultancy the communication framework was used to guide the preparation of a shared POC and Health and Hygiene work plan for Strategic Communication for Behavior Change that more closely integrates the two aspects of the project particularly at the national level The first draft of the Health and Hygiene Communication Coordinatorrsquos work plan that was later refined and merged with that of the POC is shown in Appendix 5 Key changes reflected in the work plan include the following 1) ldquoWater Quality and Healthrdquo as the major national and regional campaign with
communication targeted by POC toward a) Community campaigns b) Schools c) Local leadersmass media d) Local government
2) Public-private partnerships being maximized to leverage private sector investment in support of communication objectives a) Paper placement b) Media adoption and subsequent collection of funds from their readers to support
community activities 3) Significantly closer and more flexible coordination between public outreach health and
communication staff at the national level 4) High demand for integration between POC and HH staff operationally in each regional
office a) POC wants to be a valued source of information by the media b) POC staff need to be investigative journalist within ESP to identify and dig into
possible stories from among the many project activities
42 INTEGRATION IN REGIONS Integration between ESP component specialists is most important at the regional level The project has had several successful collaborations to date but much room exists to expand the number of opportunities where complementary specialties can be integrated for expanded project success One example of strong integration is described in the following box
Box 3 Service Delivery Community-based Solid Waste and Health and Hygiene
Specialists Collaborate to Increase Water Supply for the Urban Poor
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 6
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During the current consultancy numerous opportunities were found where program integration could occur better among regional-level specialists These were identified discussed with the relevant component specialists and captured in the integrated work plans prepared by regional staff for inclusion in the 2007 Annual Work Plan for ESP Several opportunities were identified repeatedly in preliminary workplan review as those where integration ndash and particularly the integration of Health and Hygiene staff ndash would likely lead to more beneficial outcomes These common opportunities include
1 Including appropriate hygiene instruction in all community-level participatory activities including assessments training and mobilization
2 Incorporating the content of the Health and Hygiene component from the ESP Field School training of trainers in all related field activities
3 Including a targeted diarrhea prevention module in all training courses designed or supported for PDAM staff from senior management to treatment facility operators
4 Geolocating all posyandus serving target communities during GIS and sanitation mapping exercises to facilitate monitoring of diarrhea reduction
5 Integrate Health and Hygiene behavior change activities into every implementation of Sub-Task SD 3-1 (Encourage and Increase Piped (PDAM) Water Access for the Urban Poor)
6 Always including handwashing promotional activites with community-based solid waste activities as ldquoClean Green and Hygienerdquo integrated approaches
7 All ldquoPride Campaignsrdquo are to include at least one handwashing campaign as part of their efforts
8 All activities in schools should include handwashing activities and application of a school attendance record book to monitor changes in attendance attributable to the lessons of the campaign
In ESPrsquos 2007 Annual Work Plan the operationalization of these opportunities are presented using the integrated approaches developed by the project to describe programs
1 Blue Thread In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Locations include Krueng Aceh DAS Deli Padang Cianjur Subang Progo and the Upper Brantas
2 Clean Green and Hygiene ndash including sanitation systems This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Regional examples include Sunggal Wonokromo and Taman Sari
3 Anchor Projects In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - would be directed at a single community to enable its comprehensive transformation and development In this approach the findings of Participatory Rural Appraisals (PRAs) serve as the flexible entry point to the community Several locations are being developed and are represented in the second annual work plan
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 7
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 8
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 10
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 12
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 14
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN ltFEFF004200720075006700200069006e0064007300740069006c006c0069006e006700650072006e0065002000740069006c0020006100740020006f007000720065007400740065002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e007400650072002000740069006c0020006b00760061006c00690074006500740073007500640073006b007200690076006e0069006e006700200065006c006c006500720020006b006f007200720065006b007400750072006c00e60073006e0069006e0067002e0020004400650020006f007000720065007400740065006400650020005000440046002d0064006f006b0075006d0065006e0074006500720020006b0061006e002000e50062006e00650073002000690020004100630072006f00620061007400200065006c006c006500720020004100630072006f006200610074002000520065006100640065007200200035002e00300020006f00670020006e0079006500720065002egt DEU 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 ESP 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FRA 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1 INTRODUCTION From August 19-September 15 2006 Dr Christopher McGahey worked with a wide cross-section of project staff providing technical input and support to the annual work planning process of USAIDIndonesiarsquos Environmental Services Program (ESP) The objective of the assignment was to identify opportunities and define multi-sectoral activities which strengthen the projectrsquos contribution to diarrhea prevention especially for vulnerable women young children and poor families The outputs of the assignment are contained in this report and include specific recommendations to maximize project interventions between environment and health in the ESP 2007 Workplan training and capacity building for ESP field staff and presentations of findings to USAIDBasic Health Services (BHS) staff and partners (Health Services Program (HSP) Safe Water System project (SWS) and Food Security and Nutrition (FSN)) The Scope of Work for the assignment is presented in Appendix 1 To accomplish the objectives of the consultancy Dr McGahey worked closely with the Jakarta-based Health Communication Coordinator and the Public Outreach and Communication Coordinator participated in region-level work planning meetings and contributed to island-wide work planning meetings on Java and Sumatra Field visits were made to ESP regional offices in East Java Province (Surabaya) North Sumatra Province (Medan) West Java Province (Bandung) and Central Java Province (Yokyakarta) Documents reviewed a list of those met and the consultancy schedule are presented in Appendix 2
2 ACKNOWLEDGEMENTS This consultancy builds on the proposals made during Dr McGaheyrsquos work with ESP project staff in early 2006 An enormous amount of credit goes to these staff as they have applied their professional insights and experience to the proposals and they have adapted them to create a program of integrated activities that with time and determination will reduce diarrheal diseases in Indonesia Dr McGahey is grateful for their dedication to purpose and their creativity in developing opportunities to integrate water management environmental improvement and diarrhea prevention Moreover he thanks them for their collegiality and good humor and congratulates them for their growth as individuals and professionals during the interval between consultancies
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
3 ANALYSIS OF THE CURRENT SITUATION
ESP is by design a program that promotes the integration of its technical specialties in watershed management institutional strengthening infrastructure construction community organization spatial planning local government engagement strategic communication and environmental improvement to achieve unified objectives Achieving such integration is a challenge in any setting but the professional staff of the program have begun to make it happen in Indonesian communities This report describes the authorrsquos second consultancy to the program in support of making integration of specialties the ESP norm and he has noticed considerable advancement in the staffrsquos ability to conceptualize and develop integrated activities since his first consultancy 7 months ago While working with the staff he has clearly seen how their thinking has evolved from the narrow technically-defined ldquosilosrdquo noted in the report from the first visit to a ldquosilos+rdquo way of working By this the author means that staff are achieving the outcomes that are directly related to their technical component their ldquosilosrdquo while simultaneously identifying and initiating collaborative activities with their colleagues from other specialties to contribute to the critical outcome of reducing diarrhea in children under the age of 3 ESPrsquos staff have been a high performance group since the project began and they now have great confidence in knowing how to achieve the outcomes established for their technical specialty In the next year the staff will be expected to continue contributing toward their technical outcomes while also working closely together to transform targeted locations by realistically operationalizing and gaining the benefits from the synergies between their talents The work plans which are emerging from current discussions will clearly reflect this new ldquosilos+rdquo approach Their preparation has not been easy for the staff as it has forced them to internalize a more complex way of viewing their daily activities In the next project year each staff member will learn how to make this increased complexity part of their everyday work In this way the entire program will live up to and make real its vision of
ldquopromoting better health through integration of improved water resources management and increased access to clean
water and sanitation servicesrdquo with a constant eye toward significantly contributing to USAIDIndonesiarsquos strategic objective indicator of
Reducing the proportion of children aged 0 - 35 months who had diarrhea at any time in the two week period prior
to any survey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 2
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
4 MAXIMIZING INTEGRATION OF ENVIRONMENT AND HEALTH
Multi-sectoral integration is a challenge anywhere in the world Consensus surrounds applying it as a unifying concept but operationalizing it for synergistic success on the ground is very rare ESP is poised to establish and document this integration as a normal way of practice but it has not yet fully caught on as a core consideration in activity design and implementation The creation of ESPrsquos 2007 Annual Work Plan offers the opportunity to fully engage national and regional staff in identifying - for each proposed activity - ways in which the full range of ESPrsquos technical expertise can be mobilized in targeted communities to simultaneously improve environmental protection and human health ESPrsquos commitment to cross-sectoral integration is best captured in the design and conduct of the recently concluded Watershed Management Farmer Field School training of trainers activity The Field School approach to community-based agricultural management is well established in Indonesia ESP has adapted a conventional agro-environmental content to include sanitation and hygiene as described in the following box
Box 1 Clean Green and Healthy ESP Field School
But ESP staff have not kept up fully with the content of the ESP Field School curriculum They have not yet fully internalized this integrated approach into their daily work Collaborative efforts have happened during the past six months but they have largely been collaboration-for-convenience rather than planned shared activities where the teams consciously engage their colleagues to consistently ensure that environmental protection infrastructure improvement utility operations hygiene improvement and public outreach are coordinated in specific locations to achieve multiple results In developing the 2007 Annual Work Plan emphasis has been placed on the consistent application of the full integrated approach and curriculum developed for and used at the ESP Field School TOT as the principal guide for future field activities The expected contribution from Field Schools and from ESPrsquos adoption of its approach to the 2007 program is illustrated in the following diagram
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 3
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Diagram 1 ESPrsquos Integrated Approach to Community Development from the ESP Field School to Partner Adoption A key advantage to orienting work toward the ESP Field School concept will be establishing a unified approach to working with external partners at the community level This shared approach will eliminate the contrasting approaches currently followed by different staff ndash each health and hygiene professional service delivery staff and watershed management staff has herhis own way to engage communities and local government to facilitate integration The Field School approach is most consistent with that currently used by the wateshed management team members It is anticipated in the next year that this integration ndash consistent with the core theme of the ESP Field School training of trainers ndash will be implemented directly at the regional level with coordinated support from national-level staff At the same time it is being proposed in the preparation of the work plan that the national level staff in each of ESPrsquos main technical components work in more coordinated ways to ensure unified support to regional programs
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS
Over the past 20 years health communicators have concluded that collaboratively designed multi-dimensional communication programs best improve human health by strategically addressing the motivators that guide people to change their behavior Well-developed communication strategies provide coherence for a health programrsquos activities guiding it toward its goals For ESP strategic communication ndash an integration of the talents of the
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 4
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
POC and Health and Hygiene groups - is the glue that holds the program together and the portrayor of a consistent vision that ties together the programrsquos multi-faceted activities Strategic communication is characterized by multichannel integration multiplicity of stakeholders specific attention to evaluation and evidence-based programming and balancing large-scale impact at the national level through use of mass media with site-specific impact at the community level through use of locally appropriate communication channels In August 2006 a Strategic Framework was developed to guide implementation of a strategic communication program for the coming year The framework is shown in the following graphic
TO INCREASE WATER MANAGEMENT amp HYGIENE PRACTICES TO DECREASE DIARRHEA
MASS MEDIA amp MASS MEDIA amp ADVOCACYADVOCACY
SCHOOLSCHOOL
LOGO - SLOGAN
TV amp RADIO SPOTS
PRESS COVERAGE
HEALTH FESTIVALSBCC DEMOS SHOWS
EE AWARDS
EDUCATIONAL MATERIALS
PRIVATE PUBLICPARTNERSHIP
HAND WASHING SOAP STATIONS
STRENGTHENING NETWORKS
MainMain StrategicStrategic ComponentsComponents
INSPIRATIONAL LIFE STORIES
PROMO MATERIALS
CLEAN CLEAN COMMUNITYCOMMUNITY
Main Strategic ComponentsMain Strategic Components
E amp H CURRICULUM
CHILD-TO-CHILD
SANITATION amp WASTE MGT
ADOPT A SCHOOL
BUSINESS JOURNAL
Entertainment-Education
SMALL ENTREPRENOURS
Diagram 2 Strategic Communication Framework for ESP
Many of the activities in the lowest tier of boxes have been implemented by ESP during its first 18 months However during that time they were not coordinated messages were not consistent timing of media features was not supportive of field activities and the Health and Hygiene program was on a parallel but disconnected path regarding communication of messages to that of the Public Outreach and Communication specialists Their cooperation on implementing the communication formative research served to break through some of this previous ldquosiloingrdquo between the two components
Box 2 Formative Research Unites Health Hygiene Media and Outreach
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During this consultancy the communication framework was used to guide the preparation of a shared POC and Health and Hygiene work plan for Strategic Communication for Behavior Change that more closely integrates the two aspects of the project particularly at the national level The first draft of the Health and Hygiene Communication Coordinatorrsquos work plan that was later refined and merged with that of the POC is shown in Appendix 5 Key changes reflected in the work plan include the following 1) ldquoWater Quality and Healthrdquo as the major national and regional campaign with
communication targeted by POC toward a) Community campaigns b) Schools c) Local leadersmass media d) Local government
2) Public-private partnerships being maximized to leverage private sector investment in support of communication objectives a) Paper placement b) Media adoption and subsequent collection of funds from their readers to support
community activities 3) Significantly closer and more flexible coordination between public outreach health and
communication staff at the national level 4) High demand for integration between POC and HH staff operationally in each regional
office a) POC wants to be a valued source of information by the media b) POC staff need to be investigative journalist within ESP to identify and dig into
possible stories from among the many project activities
42 INTEGRATION IN REGIONS Integration between ESP component specialists is most important at the regional level The project has had several successful collaborations to date but much room exists to expand the number of opportunities where complementary specialties can be integrated for expanded project success One example of strong integration is described in the following box
Box 3 Service Delivery Community-based Solid Waste and Health and Hygiene
Specialists Collaborate to Increase Water Supply for the Urban Poor
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During the current consultancy numerous opportunities were found where program integration could occur better among regional-level specialists These were identified discussed with the relevant component specialists and captured in the integrated work plans prepared by regional staff for inclusion in the 2007 Annual Work Plan for ESP Several opportunities were identified repeatedly in preliminary workplan review as those where integration ndash and particularly the integration of Health and Hygiene staff ndash would likely lead to more beneficial outcomes These common opportunities include
1 Including appropriate hygiene instruction in all community-level participatory activities including assessments training and mobilization
2 Incorporating the content of the Health and Hygiene component from the ESP Field School training of trainers in all related field activities
3 Including a targeted diarrhea prevention module in all training courses designed or supported for PDAM staff from senior management to treatment facility operators
4 Geolocating all posyandus serving target communities during GIS and sanitation mapping exercises to facilitate monitoring of diarrhea reduction
5 Integrate Health and Hygiene behavior change activities into every implementation of Sub-Task SD 3-1 (Encourage and Increase Piped (PDAM) Water Access for the Urban Poor)
6 Always including handwashing promotional activites with community-based solid waste activities as ldquoClean Green and Hygienerdquo integrated approaches
7 All ldquoPride Campaignsrdquo are to include at least one handwashing campaign as part of their efforts
8 All activities in schools should include handwashing activities and application of a school attendance record book to monitor changes in attendance attributable to the lessons of the campaign
In ESPrsquos 2007 Annual Work Plan the operationalization of these opportunities are presented using the integrated approaches developed by the project to describe programs
1 Blue Thread In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Locations include Krueng Aceh DAS Deli Padang Cianjur Subang Progo and the Upper Brantas
2 Clean Green and Hygiene ndash including sanitation systems This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Regional examples include Sunggal Wonokromo and Taman Sari
3 Anchor Projects In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - would be directed at a single community to enable its comprehensive transformation and development In this approach the findings of Participatory Rural Appraisals (PRAs) serve as the flexible entry point to the community Several locations are being developed and are represented in the second annual work plan
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 10
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 14
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
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CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
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Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
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PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
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Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
3 ANALYSIS OF THE CURRENT SITUATION
ESP is by design a program that promotes the integration of its technical specialties in watershed management institutional strengthening infrastructure construction community organization spatial planning local government engagement strategic communication and environmental improvement to achieve unified objectives Achieving such integration is a challenge in any setting but the professional staff of the program have begun to make it happen in Indonesian communities This report describes the authorrsquos second consultancy to the program in support of making integration of specialties the ESP norm and he has noticed considerable advancement in the staffrsquos ability to conceptualize and develop integrated activities since his first consultancy 7 months ago While working with the staff he has clearly seen how their thinking has evolved from the narrow technically-defined ldquosilosrdquo noted in the report from the first visit to a ldquosilos+rdquo way of working By this the author means that staff are achieving the outcomes that are directly related to their technical component their ldquosilosrdquo while simultaneously identifying and initiating collaborative activities with their colleagues from other specialties to contribute to the critical outcome of reducing diarrhea in children under the age of 3 ESPrsquos staff have been a high performance group since the project began and they now have great confidence in knowing how to achieve the outcomes established for their technical specialty In the next year the staff will be expected to continue contributing toward their technical outcomes while also working closely together to transform targeted locations by realistically operationalizing and gaining the benefits from the synergies between their talents The work plans which are emerging from current discussions will clearly reflect this new ldquosilos+rdquo approach Their preparation has not been easy for the staff as it has forced them to internalize a more complex way of viewing their daily activities In the next project year each staff member will learn how to make this increased complexity part of their everyday work In this way the entire program will live up to and make real its vision of
ldquopromoting better health through integration of improved water resources management and increased access to clean
water and sanitation servicesrdquo with a constant eye toward significantly contributing to USAIDIndonesiarsquos strategic objective indicator of
Reducing the proportion of children aged 0 - 35 months who had diarrhea at any time in the two week period prior
to any survey
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
4 MAXIMIZING INTEGRATION OF ENVIRONMENT AND HEALTH
Multi-sectoral integration is a challenge anywhere in the world Consensus surrounds applying it as a unifying concept but operationalizing it for synergistic success on the ground is very rare ESP is poised to establish and document this integration as a normal way of practice but it has not yet fully caught on as a core consideration in activity design and implementation The creation of ESPrsquos 2007 Annual Work Plan offers the opportunity to fully engage national and regional staff in identifying - for each proposed activity - ways in which the full range of ESPrsquos technical expertise can be mobilized in targeted communities to simultaneously improve environmental protection and human health ESPrsquos commitment to cross-sectoral integration is best captured in the design and conduct of the recently concluded Watershed Management Farmer Field School training of trainers activity The Field School approach to community-based agricultural management is well established in Indonesia ESP has adapted a conventional agro-environmental content to include sanitation and hygiene as described in the following box
Box 1 Clean Green and Healthy ESP Field School
But ESP staff have not kept up fully with the content of the ESP Field School curriculum They have not yet fully internalized this integrated approach into their daily work Collaborative efforts have happened during the past six months but they have largely been collaboration-for-convenience rather than planned shared activities where the teams consciously engage their colleagues to consistently ensure that environmental protection infrastructure improvement utility operations hygiene improvement and public outreach are coordinated in specific locations to achieve multiple results In developing the 2007 Annual Work Plan emphasis has been placed on the consistent application of the full integrated approach and curriculum developed for and used at the ESP Field School TOT as the principal guide for future field activities The expected contribution from Field Schools and from ESPrsquos adoption of its approach to the 2007 program is illustrated in the following diagram
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 3
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Diagram 1 ESPrsquos Integrated Approach to Community Development from the ESP Field School to Partner Adoption A key advantage to orienting work toward the ESP Field School concept will be establishing a unified approach to working with external partners at the community level This shared approach will eliminate the contrasting approaches currently followed by different staff ndash each health and hygiene professional service delivery staff and watershed management staff has herhis own way to engage communities and local government to facilitate integration The Field School approach is most consistent with that currently used by the wateshed management team members It is anticipated in the next year that this integration ndash consistent with the core theme of the ESP Field School training of trainers ndash will be implemented directly at the regional level with coordinated support from national-level staff At the same time it is being proposed in the preparation of the work plan that the national level staff in each of ESPrsquos main technical components work in more coordinated ways to ensure unified support to regional programs
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS
Over the past 20 years health communicators have concluded that collaboratively designed multi-dimensional communication programs best improve human health by strategically addressing the motivators that guide people to change their behavior Well-developed communication strategies provide coherence for a health programrsquos activities guiding it toward its goals For ESP strategic communication ndash an integration of the talents of the
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
POC and Health and Hygiene groups - is the glue that holds the program together and the portrayor of a consistent vision that ties together the programrsquos multi-faceted activities Strategic communication is characterized by multichannel integration multiplicity of stakeholders specific attention to evaluation and evidence-based programming and balancing large-scale impact at the national level through use of mass media with site-specific impact at the community level through use of locally appropriate communication channels In August 2006 a Strategic Framework was developed to guide implementation of a strategic communication program for the coming year The framework is shown in the following graphic
TO INCREASE WATER MANAGEMENT amp HYGIENE PRACTICES TO DECREASE DIARRHEA
MASS MEDIA amp MASS MEDIA amp ADVOCACYADVOCACY
SCHOOLSCHOOL
LOGO - SLOGAN
TV amp RADIO SPOTS
PRESS COVERAGE
HEALTH FESTIVALSBCC DEMOS SHOWS
EE AWARDS
EDUCATIONAL MATERIALS
PRIVATE PUBLICPARTNERSHIP
HAND WASHING SOAP STATIONS
STRENGTHENING NETWORKS
MainMain StrategicStrategic ComponentsComponents
INSPIRATIONAL LIFE STORIES
PROMO MATERIALS
CLEAN CLEAN COMMUNITYCOMMUNITY
Main Strategic ComponentsMain Strategic Components
E amp H CURRICULUM
CHILD-TO-CHILD
SANITATION amp WASTE MGT
ADOPT A SCHOOL
BUSINESS JOURNAL
Entertainment-Education
SMALL ENTREPRENOURS
Diagram 2 Strategic Communication Framework for ESP
Many of the activities in the lowest tier of boxes have been implemented by ESP during its first 18 months However during that time they were not coordinated messages were not consistent timing of media features was not supportive of field activities and the Health and Hygiene program was on a parallel but disconnected path regarding communication of messages to that of the Public Outreach and Communication specialists Their cooperation on implementing the communication formative research served to break through some of this previous ldquosiloingrdquo between the two components
Box 2 Formative Research Unites Health Hygiene Media and Outreach
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During this consultancy the communication framework was used to guide the preparation of a shared POC and Health and Hygiene work plan for Strategic Communication for Behavior Change that more closely integrates the two aspects of the project particularly at the national level The first draft of the Health and Hygiene Communication Coordinatorrsquos work plan that was later refined and merged with that of the POC is shown in Appendix 5 Key changes reflected in the work plan include the following 1) ldquoWater Quality and Healthrdquo as the major national and regional campaign with
communication targeted by POC toward a) Community campaigns b) Schools c) Local leadersmass media d) Local government
2) Public-private partnerships being maximized to leverage private sector investment in support of communication objectives a) Paper placement b) Media adoption and subsequent collection of funds from their readers to support
community activities 3) Significantly closer and more flexible coordination between public outreach health and
communication staff at the national level 4) High demand for integration between POC and HH staff operationally in each regional
office a) POC wants to be a valued source of information by the media b) POC staff need to be investigative journalist within ESP to identify and dig into
possible stories from among the many project activities
42 INTEGRATION IN REGIONS Integration between ESP component specialists is most important at the regional level The project has had several successful collaborations to date but much room exists to expand the number of opportunities where complementary specialties can be integrated for expanded project success One example of strong integration is described in the following box
Box 3 Service Delivery Community-based Solid Waste and Health and Hygiene
Specialists Collaborate to Increase Water Supply for the Urban Poor
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During the current consultancy numerous opportunities were found where program integration could occur better among regional-level specialists These were identified discussed with the relevant component specialists and captured in the integrated work plans prepared by regional staff for inclusion in the 2007 Annual Work Plan for ESP Several opportunities were identified repeatedly in preliminary workplan review as those where integration ndash and particularly the integration of Health and Hygiene staff ndash would likely lead to more beneficial outcomes These common opportunities include
1 Including appropriate hygiene instruction in all community-level participatory activities including assessments training and mobilization
2 Incorporating the content of the Health and Hygiene component from the ESP Field School training of trainers in all related field activities
3 Including a targeted diarrhea prevention module in all training courses designed or supported for PDAM staff from senior management to treatment facility operators
4 Geolocating all posyandus serving target communities during GIS and sanitation mapping exercises to facilitate monitoring of diarrhea reduction
5 Integrate Health and Hygiene behavior change activities into every implementation of Sub-Task SD 3-1 (Encourage and Increase Piped (PDAM) Water Access for the Urban Poor)
6 Always including handwashing promotional activites with community-based solid waste activities as ldquoClean Green and Hygienerdquo integrated approaches
7 All ldquoPride Campaignsrdquo are to include at least one handwashing campaign as part of their efforts
8 All activities in schools should include handwashing activities and application of a school attendance record book to monitor changes in attendance attributable to the lessons of the campaign
In ESPrsquos 2007 Annual Work Plan the operationalization of these opportunities are presented using the integrated approaches developed by the project to describe programs
1 Blue Thread In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Locations include Krueng Aceh DAS Deli Padang Cianjur Subang Progo and the Upper Brantas
2 Clean Green and Hygiene ndash including sanitation systems This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Regional examples include Sunggal Wonokromo and Taman Sari
3 Anchor Projects In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - would be directed at a single community to enable its comprehensive transformation and development In this approach the findings of Participatory Rural Appraisals (PRAs) serve as the flexible entry point to the community Several locations are being developed and are represented in the second annual work plan
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43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
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APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 13
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 14
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
4 MAXIMIZING INTEGRATION OF ENVIRONMENT AND HEALTH
Multi-sectoral integration is a challenge anywhere in the world Consensus surrounds applying it as a unifying concept but operationalizing it for synergistic success on the ground is very rare ESP is poised to establish and document this integration as a normal way of practice but it has not yet fully caught on as a core consideration in activity design and implementation The creation of ESPrsquos 2007 Annual Work Plan offers the opportunity to fully engage national and regional staff in identifying - for each proposed activity - ways in which the full range of ESPrsquos technical expertise can be mobilized in targeted communities to simultaneously improve environmental protection and human health ESPrsquos commitment to cross-sectoral integration is best captured in the design and conduct of the recently concluded Watershed Management Farmer Field School training of trainers activity The Field School approach to community-based agricultural management is well established in Indonesia ESP has adapted a conventional agro-environmental content to include sanitation and hygiene as described in the following box
Box 1 Clean Green and Healthy ESP Field School
But ESP staff have not kept up fully with the content of the ESP Field School curriculum They have not yet fully internalized this integrated approach into their daily work Collaborative efforts have happened during the past six months but they have largely been collaboration-for-convenience rather than planned shared activities where the teams consciously engage their colleagues to consistently ensure that environmental protection infrastructure improvement utility operations hygiene improvement and public outreach are coordinated in specific locations to achieve multiple results In developing the 2007 Annual Work Plan emphasis has been placed on the consistent application of the full integrated approach and curriculum developed for and used at the ESP Field School TOT as the principal guide for future field activities The expected contribution from Field Schools and from ESPrsquos adoption of its approach to the 2007 program is illustrated in the following diagram
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 3
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Diagram 1 ESPrsquos Integrated Approach to Community Development from the ESP Field School to Partner Adoption A key advantage to orienting work toward the ESP Field School concept will be establishing a unified approach to working with external partners at the community level This shared approach will eliminate the contrasting approaches currently followed by different staff ndash each health and hygiene professional service delivery staff and watershed management staff has herhis own way to engage communities and local government to facilitate integration The Field School approach is most consistent with that currently used by the wateshed management team members It is anticipated in the next year that this integration ndash consistent with the core theme of the ESP Field School training of trainers ndash will be implemented directly at the regional level with coordinated support from national-level staff At the same time it is being proposed in the preparation of the work plan that the national level staff in each of ESPrsquos main technical components work in more coordinated ways to ensure unified support to regional programs
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS
Over the past 20 years health communicators have concluded that collaboratively designed multi-dimensional communication programs best improve human health by strategically addressing the motivators that guide people to change their behavior Well-developed communication strategies provide coherence for a health programrsquos activities guiding it toward its goals For ESP strategic communication ndash an integration of the talents of the
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 4
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
POC and Health and Hygiene groups - is the glue that holds the program together and the portrayor of a consistent vision that ties together the programrsquos multi-faceted activities Strategic communication is characterized by multichannel integration multiplicity of stakeholders specific attention to evaluation and evidence-based programming and balancing large-scale impact at the national level through use of mass media with site-specific impact at the community level through use of locally appropriate communication channels In August 2006 a Strategic Framework was developed to guide implementation of a strategic communication program for the coming year The framework is shown in the following graphic
TO INCREASE WATER MANAGEMENT amp HYGIENE PRACTICES TO DECREASE DIARRHEA
MASS MEDIA amp MASS MEDIA amp ADVOCACYADVOCACY
SCHOOLSCHOOL
LOGO - SLOGAN
TV amp RADIO SPOTS
PRESS COVERAGE
HEALTH FESTIVALSBCC DEMOS SHOWS
EE AWARDS
EDUCATIONAL MATERIALS
PRIVATE PUBLICPARTNERSHIP
HAND WASHING SOAP STATIONS
STRENGTHENING NETWORKS
MainMain StrategicStrategic ComponentsComponents
INSPIRATIONAL LIFE STORIES
PROMO MATERIALS
CLEAN CLEAN COMMUNITYCOMMUNITY
Main Strategic ComponentsMain Strategic Components
E amp H CURRICULUM
CHILD-TO-CHILD
SANITATION amp WASTE MGT
ADOPT A SCHOOL
BUSINESS JOURNAL
Entertainment-Education
SMALL ENTREPRENOURS
Diagram 2 Strategic Communication Framework for ESP
Many of the activities in the lowest tier of boxes have been implemented by ESP during its first 18 months However during that time they were not coordinated messages were not consistent timing of media features was not supportive of field activities and the Health and Hygiene program was on a parallel but disconnected path regarding communication of messages to that of the Public Outreach and Communication specialists Their cooperation on implementing the communication formative research served to break through some of this previous ldquosiloingrdquo between the two components
Box 2 Formative Research Unites Health Hygiene Media and Outreach
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During this consultancy the communication framework was used to guide the preparation of a shared POC and Health and Hygiene work plan for Strategic Communication for Behavior Change that more closely integrates the two aspects of the project particularly at the national level The first draft of the Health and Hygiene Communication Coordinatorrsquos work plan that was later refined and merged with that of the POC is shown in Appendix 5 Key changes reflected in the work plan include the following 1) ldquoWater Quality and Healthrdquo as the major national and regional campaign with
communication targeted by POC toward a) Community campaigns b) Schools c) Local leadersmass media d) Local government
2) Public-private partnerships being maximized to leverage private sector investment in support of communication objectives a) Paper placement b) Media adoption and subsequent collection of funds from their readers to support
community activities 3) Significantly closer and more flexible coordination between public outreach health and
communication staff at the national level 4) High demand for integration between POC and HH staff operationally in each regional
office a) POC wants to be a valued source of information by the media b) POC staff need to be investigative journalist within ESP to identify and dig into
possible stories from among the many project activities
42 INTEGRATION IN REGIONS Integration between ESP component specialists is most important at the regional level The project has had several successful collaborations to date but much room exists to expand the number of opportunities where complementary specialties can be integrated for expanded project success One example of strong integration is described in the following box
Box 3 Service Delivery Community-based Solid Waste and Health and Hygiene
Specialists Collaborate to Increase Water Supply for the Urban Poor
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During the current consultancy numerous opportunities were found where program integration could occur better among regional-level specialists These were identified discussed with the relevant component specialists and captured in the integrated work plans prepared by regional staff for inclusion in the 2007 Annual Work Plan for ESP Several opportunities were identified repeatedly in preliminary workplan review as those where integration ndash and particularly the integration of Health and Hygiene staff ndash would likely lead to more beneficial outcomes These common opportunities include
1 Including appropriate hygiene instruction in all community-level participatory activities including assessments training and mobilization
2 Incorporating the content of the Health and Hygiene component from the ESP Field School training of trainers in all related field activities
3 Including a targeted diarrhea prevention module in all training courses designed or supported for PDAM staff from senior management to treatment facility operators
4 Geolocating all posyandus serving target communities during GIS and sanitation mapping exercises to facilitate monitoring of diarrhea reduction
5 Integrate Health and Hygiene behavior change activities into every implementation of Sub-Task SD 3-1 (Encourage and Increase Piped (PDAM) Water Access for the Urban Poor)
6 Always including handwashing promotional activites with community-based solid waste activities as ldquoClean Green and Hygienerdquo integrated approaches
7 All ldquoPride Campaignsrdquo are to include at least one handwashing campaign as part of their efforts
8 All activities in schools should include handwashing activities and application of a school attendance record book to monitor changes in attendance attributable to the lessons of the campaign
In ESPrsquos 2007 Annual Work Plan the operationalization of these opportunities are presented using the integrated approaches developed by the project to describe programs
1 Blue Thread In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Locations include Krueng Aceh DAS Deli Padang Cianjur Subang Progo and the Upper Brantas
2 Clean Green and Hygiene ndash including sanitation systems This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Regional examples include Sunggal Wonokromo and Taman Sari
3 Anchor Projects In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - would be directed at a single community to enable its comprehensive transformation and development In this approach the findings of Participatory Rural Appraisals (PRAs) serve as the flexible entry point to the community Several locations are being developed and are represented in the second annual work plan
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 7
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 8
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 14
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Diagram 1 ESPrsquos Integrated Approach to Community Development from the ESP Field School to Partner Adoption A key advantage to orienting work toward the ESP Field School concept will be establishing a unified approach to working with external partners at the community level This shared approach will eliminate the contrasting approaches currently followed by different staff ndash each health and hygiene professional service delivery staff and watershed management staff has herhis own way to engage communities and local government to facilitate integration The Field School approach is most consistent with that currently used by the wateshed management team members It is anticipated in the next year that this integration ndash consistent with the core theme of the ESP Field School training of trainers ndash will be implemented directly at the regional level with coordinated support from national-level staff At the same time it is being proposed in the preparation of the work plan that the national level staff in each of ESPrsquos main technical components work in more coordinated ways to ensure unified support to regional programs
41 INTEGRATION FOR STRATEGIC COMMUNICATIONS
Over the past 20 years health communicators have concluded that collaboratively designed multi-dimensional communication programs best improve human health by strategically addressing the motivators that guide people to change their behavior Well-developed communication strategies provide coherence for a health programrsquos activities guiding it toward its goals For ESP strategic communication ndash an integration of the talents of the
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 4
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
POC and Health and Hygiene groups - is the glue that holds the program together and the portrayor of a consistent vision that ties together the programrsquos multi-faceted activities Strategic communication is characterized by multichannel integration multiplicity of stakeholders specific attention to evaluation and evidence-based programming and balancing large-scale impact at the national level through use of mass media with site-specific impact at the community level through use of locally appropriate communication channels In August 2006 a Strategic Framework was developed to guide implementation of a strategic communication program for the coming year The framework is shown in the following graphic
TO INCREASE WATER MANAGEMENT amp HYGIENE PRACTICES TO DECREASE DIARRHEA
MASS MEDIA amp MASS MEDIA amp ADVOCACYADVOCACY
SCHOOLSCHOOL
LOGO - SLOGAN
TV amp RADIO SPOTS
PRESS COVERAGE
HEALTH FESTIVALSBCC DEMOS SHOWS
EE AWARDS
EDUCATIONAL MATERIALS
PRIVATE PUBLICPARTNERSHIP
HAND WASHING SOAP STATIONS
STRENGTHENING NETWORKS
MainMain StrategicStrategic ComponentsComponents
INSPIRATIONAL LIFE STORIES
PROMO MATERIALS
CLEAN CLEAN COMMUNITYCOMMUNITY
Main Strategic ComponentsMain Strategic Components
E amp H CURRICULUM
CHILD-TO-CHILD
SANITATION amp WASTE MGT
ADOPT A SCHOOL
BUSINESS JOURNAL
Entertainment-Education
SMALL ENTREPRENOURS
Diagram 2 Strategic Communication Framework for ESP
Many of the activities in the lowest tier of boxes have been implemented by ESP during its first 18 months However during that time they were not coordinated messages were not consistent timing of media features was not supportive of field activities and the Health and Hygiene program was on a parallel but disconnected path regarding communication of messages to that of the Public Outreach and Communication specialists Their cooperation on implementing the communication formative research served to break through some of this previous ldquosiloingrdquo between the two components
Box 2 Formative Research Unites Health Hygiene Media and Outreach
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 5
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During this consultancy the communication framework was used to guide the preparation of a shared POC and Health and Hygiene work plan for Strategic Communication for Behavior Change that more closely integrates the two aspects of the project particularly at the national level The first draft of the Health and Hygiene Communication Coordinatorrsquos work plan that was later refined and merged with that of the POC is shown in Appendix 5 Key changes reflected in the work plan include the following 1) ldquoWater Quality and Healthrdquo as the major national and regional campaign with
communication targeted by POC toward a) Community campaigns b) Schools c) Local leadersmass media d) Local government
2) Public-private partnerships being maximized to leverage private sector investment in support of communication objectives a) Paper placement b) Media adoption and subsequent collection of funds from their readers to support
community activities 3) Significantly closer and more flexible coordination between public outreach health and
communication staff at the national level 4) High demand for integration between POC and HH staff operationally in each regional
office a) POC wants to be a valued source of information by the media b) POC staff need to be investigative journalist within ESP to identify and dig into
possible stories from among the many project activities
42 INTEGRATION IN REGIONS Integration between ESP component specialists is most important at the regional level The project has had several successful collaborations to date but much room exists to expand the number of opportunities where complementary specialties can be integrated for expanded project success One example of strong integration is described in the following box
Box 3 Service Delivery Community-based Solid Waste and Health and Hygiene
Specialists Collaborate to Increase Water Supply for the Urban Poor
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 6
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During the current consultancy numerous opportunities were found where program integration could occur better among regional-level specialists These were identified discussed with the relevant component specialists and captured in the integrated work plans prepared by regional staff for inclusion in the 2007 Annual Work Plan for ESP Several opportunities were identified repeatedly in preliminary workplan review as those where integration ndash and particularly the integration of Health and Hygiene staff ndash would likely lead to more beneficial outcomes These common opportunities include
1 Including appropriate hygiene instruction in all community-level participatory activities including assessments training and mobilization
2 Incorporating the content of the Health and Hygiene component from the ESP Field School training of trainers in all related field activities
3 Including a targeted diarrhea prevention module in all training courses designed or supported for PDAM staff from senior management to treatment facility operators
4 Geolocating all posyandus serving target communities during GIS and sanitation mapping exercises to facilitate monitoring of diarrhea reduction
5 Integrate Health and Hygiene behavior change activities into every implementation of Sub-Task SD 3-1 (Encourage and Increase Piped (PDAM) Water Access for the Urban Poor)
6 Always including handwashing promotional activites with community-based solid waste activities as ldquoClean Green and Hygienerdquo integrated approaches
7 All ldquoPride Campaignsrdquo are to include at least one handwashing campaign as part of their efforts
8 All activities in schools should include handwashing activities and application of a school attendance record book to monitor changes in attendance attributable to the lessons of the campaign
In ESPrsquos 2007 Annual Work Plan the operationalization of these opportunities are presented using the integrated approaches developed by the project to describe programs
1 Blue Thread In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Locations include Krueng Aceh DAS Deli Padang Cianjur Subang Progo and the Upper Brantas
2 Clean Green and Hygiene ndash including sanitation systems This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Regional examples include Sunggal Wonokromo and Taman Sari
3 Anchor Projects In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - would be directed at a single community to enable its comprehensive transformation and development In this approach the findings of Participatory Rural Appraisals (PRAs) serve as the flexible entry point to the community Several locations are being developed and are represented in the second annual work plan
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 7
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 8
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 9
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 10
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 11
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
POC and Health and Hygiene groups - is the glue that holds the program together and the portrayor of a consistent vision that ties together the programrsquos multi-faceted activities Strategic communication is characterized by multichannel integration multiplicity of stakeholders specific attention to evaluation and evidence-based programming and balancing large-scale impact at the national level through use of mass media with site-specific impact at the community level through use of locally appropriate communication channels In August 2006 a Strategic Framework was developed to guide implementation of a strategic communication program for the coming year The framework is shown in the following graphic
TO INCREASE WATER MANAGEMENT amp HYGIENE PRACTICES TO DECREASE DIARRHEA
MASS MEDIA amp MASS MEDIA amp ADVOCACYADVOCACY
SCHOOLSCHOOL
LOGO - SLOGAN
TV amp RADIO SPOTS
PRESS COVERAGE
HEALTH FESTIVALSBCC DEMOS SHOWS
EE AWARDS
EDUCATIONAL MATERIALS
PRIVATE PUBLICPARTNERSHIP
HAND WASHING SOAP STATIONS
STRENGTHENING NETWORKS
MainMain StrategicStrategic ComponentsComponents
INSPIRATIONAL LIFE STORIES
PROMO MATERIALS
CLEAN CLEAN COMMUNITYCOMMUNITY
Main Strategic ComponentsMain Strategic Components
E amp H CURRICULUM
CHILD-TO-CHILD
SANITATION amp WASTE MGT
ADOPT A SCHOOL
BUSINESS JOURNAL
Entertainment-Education
SMALL ENTREPRENOURS
Diagram 2 Strategic Communication Framework for ESP
Many of the activities in the lowest tier of boxes have been implemented by ESP during its first 18 months However during that time they were not coordinated messages were not consistent timing of media features was not supportive of field activities and the Health and Hygiene program was on a parallel but disconnected path regarding communication of messages to that of the Public Outreach and Communication specialists Their cooperation on implementing the communication formative research served to break through some of this previous ldquosiloingrdquo between the two components
Box 2 Formative Research Unites Health Hygiene Media and Outreach
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 5
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During this consultancy the communication framework was used to guide the preparation of a shared POC and Health and Hygiene work plan for Strategic Communication for Behavior Change that more closely integrates the two aspects of the project particularly at the national level The first draft of the Health and Hygiene Communication Coordinatorrsquos work plan that was later refined and merged with that of the POC is shown in Appendix 5 Key changes reflected in the work plan include the following 1) ldquoWater Quality and Healthrdquo as the major national and regional campaign with
communication targeted by POC toward a) Community campaigns b) Schools c) Local leadersmass media d) Local government
2) Public-private partnerships being maximized to leverage private sector investment in support of communication objectives a) Paper placement b) Media adoption and subsequent collection of funds from their readers to support
community activities 3) Significantly closer and more flexible coordination between public outreach health and
communication staff at the national level 4) High demand for integration between POC and HH staff operationally in each regional
office a) POC wants to be a valued source of information by the media b) POC staff need to be investigative journalist within ESP to identify and dig into
possible stories from among the many project activities
42 INTEGRATION IN REGIONS Integration between ESP component specialists is most important at the regional level The project has had several successful collaborations to date but much room exists to expand the number of opportunities where complementary specialties can be integrated for expanded project success One example of strong integration is described in the following box
Box 3 Service Delivery Community-based Solid Waste and Health and Hygiene
Specialists Collaborate to Increase Water Supply for the Urban Poor
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 6
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During the current consultancy numerous opportunities were found where program integration could occur better among regional-level specialists These were identified discussed with the relevant component specialists and captured in the integrated work plans prepared by regional staff for inclusion in the 2007 Annual Work Plan for ESP Several opportunities were identified repeatedly in preliminary workplan review as those where integration ndash and particularly the integration of Health and Hygiene staff ndash would likely lead to more beneficial outcomes These common opportunities include
1 Including appropriate hygiene instruction in all community-level participatory activities including assessments training and mobilization
2 Incorporating the content of the Health and Hygiene component from the ESP Field School training of trainers in all related field activities
3 Including a targeted diarrhea prevention module in all training courses designed or supported for PDAM staff from senior management to treatment facility operators
4 Geolocating all posyandus serving target communities during GIS and sanitation mapping exercises to facilitate monitoring of diarrhea reduction
5 Integrate Health and Hygiene behavior change activities into every implementation of Sub-Task SD 3-1 (Encourage and Increase Piped (PDAM) Water Access for the Urban Poor)
6 Always including handwashing promotional activites with community-based solid waste activities as ldquoClean Green and Hygienerdquo integrated approaches
7 All ldquoPride Campaignsrdquo are to include at least one handwashing campaign as part of their efforts
8 All activities in schools should include handwashing activities and application of a school attendance record book to monitor changes in attendance attributable to the lessons of the campaign
In ESPrsquos 2007 Annual Work Plan the operationalization of these opportunities are presented using the integrated approaches developed by the project to describe programs
1 Blue Thread In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Locations include Krueng Aceh DAS Deli Padang Cianjur Subang Progo and the Upper Brantas
2 Clean Green and Hygiene ndash including sanitation systems This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Regional examples include Sunggal Wonokromo and Taman Sari
3 Anchor Projects In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - would be directed at a single community to enable its comprehensive transformation and development In this approach the findings of Participatory Rural Appraisals (PRAs) serve as the flexible entry point to the community Several locations are being developed and are represented in the second annual work plan
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 7
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 8
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 9
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 10
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 11
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 12
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 13
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 14
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
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Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA ltFEFF005500740069006c0069007a007a006100720065002000710075006500730074006500200069006d0070006f007300740061007a0069006f006e00690020007000650072002000630072006500610072006500200064006f00630075006d0065006e00740069002000410064006f006200650020005000440046002000700065007200200075006e00610020007300740061006d007000610020006400690020007100750061006c0069007400e00020007300750020007300740061006d00700061006e0074006900200065002000700072006f006f0066006500720020006400650073006b0074006f0070002e0020004900200064006f00630075006d0065006e007400690020005000440046002000630072006500610074006900200070006f00730073006f006e006f0020006500730073006500720065002000610070006500720074006900200063006f006e0020004100630072006f00620061007400200065002000410064006f00620065002000520065006100640065007200200035002e003000200065002000760065007200730069006f006e006900200073007500630063006500730073006900760065002egt JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged 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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During this consultancy the communication framework was used to guide the preparation of a shared POC and Health and Hygiene work plan for Strategic Communication for Behavior Change that more closely integrates the two aspects of the project particularly at the national level The first draft of the Health and Hygiene Communication Coordinatorrsquos work plan that was later refined and merged with that of the POC is shown in Appendix 5 Key changes reflected in the work plan include the following 1) ldquoWater Quality and Healthrdquo as the major national and regional campaign with
communication targeted by POC toward a) Community campaigns b) Schools c) Local leadersmass media d) Local government
2) Public-private partnerships being maximized to leverage private sector investment in support of communication objectives a) Paper placement b) Media adoption and subsequent collection of funds from their readers to support
community activities 3) Significantly closer and more flexible coordination between public outreach health and
communication staff at the national level 4) High demand for integration between POC and HH staff operationally in each regional
office a) POC wants to be a valued source of information by the media b) POC staff need to be investigative journalist within ESP to identify and dig into
possible stories from among the many project activities
42 INTEGRATION IN REGIONS Integration between ESP component specialists is most important at the regional level The project has had several successful collaborations to date but much room exists to expand the number of opportunities where complementary specialties can be integrated for expanded project success One example of strong integration is described in the following box
Box 3 Service Delivery Community-based Solid Waste and Health and Hygiene
Specialists Collaborate to Increase Water Supply for the Urban Poor
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 6
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During the current consultancy numerous opportunities were found where program integration could occur better among regional-level specialists These were identified discussed with the relevant component specialists and captured in the integrated work plans prepared by regional staff for inclusion in the 2007 Annual Work Plan for ESP Several opportunities were identified repeatedly in preliminary workplan review as those where integration ndash and particularly the integration of Health and Hygiene staff ndash would likely lead to more beneficial outcomes These common opportunities include
1 Including appropriate hygiene instruction in all community-level participatory activities including assessments training and mobilization
2 Incorporating the content of the Health and Hygiene component from the ESP Field School training of trainers in all related field activities
3 Including a targeted diarrhea prevention module in all training courses designed or supported for PDAM staff from senior management to treatment facility operators
4 Geolocating all posyandus serving target communities during GIS and sanitation mapping exercises to facilitate monitoring of diarrhea reduction
5 Integrate Health and Hygiene behavior change activities into every implementation of Sub-Task SD 3-1 (Encourage and Increase Piped (PDAM) Water Access for the Urban Poor)
6 Always including handwashing promotional activites with community-based solid waste activities as ldquoClean Green and Hygienerdquo integrated approaches
7 All ldquoPride Campaignsrdquo are to include at least one handwashing campaign as part of their efforts
8 All activities in schools should include handwashing activities and application of a school attendance record book to monitor changes in attendance attributable to the lessons of the campaign
In ESPrsquos 2007 Annual Work Plan the operationalization of these opportunities are presented using the integrated approaches developed by the project to describe programs
1 Blue Thread In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Locations include Krueng Aceh DAS Deli Padang Cianjur Subang Progo and the Upper Brantas
2 Clean Green and Hygiene ndash including sanitation systems This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Regional examples include Sunggal Wonokromo and Taman Sari
3 Anchor Projects In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - would be directed at a single community to enable its comprehensive transformation and development In this approach the findings of Participatory Rural Appraisals (PRAs) serve as the flexible entry point to the community Several locations are being developed and are represented in the second annual work plan
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 7
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 8
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 9
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 10
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 11
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 12
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 13
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 14
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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 ESP 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 FRA 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 ITA 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 JPN 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 SVE 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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
During the current consultancy numerous opportunities were found where program integration could occur better among regional-level specialists These were identified discussed with the relevant component specialists and captured in the integrated work plans prepared by regional staff for inclusion in the 2007 Annual Work Plan for ESP Several opportunities were identified repeatedly in preliminary workplan review as those where integration ndash and particularly the integration of Health and Hygiene staff ndash would likely lead to more beneficial outcomes These common opportunities include
1 Including appropriate hygiene instruction in all community-level participatory activities including assessments training and mobilization
2 Incorporating the content of the Health and Hygiene component from the ESP Field School training of trainers in all related field activities
3 Including a targeted diarrhea prevention module in all training courses designed or supported for PDAM staff from senior management to treatment facility operators
4 Geolocating all posyandus serving target communities during GIS and sanitation mapping exercises to facilitate monitoring of diarrhea reduction
5 Integrate Health and Hygiene behavior change activities into every implementation of Sub-Task SD 3-1 (Encourage and Increase Piped (PDAM) Water Access for the Urban Poor)
6 Always including handwashing promotional activites with community-based solid waste activities as ldquoClean Green and Hygienerdquo integrated approaches
7 All ldquoPride Campaignsrdquo are to include at least one handwashing campaign as part of their efforts
8 All activities in schools should include handwashing activities and application of a school attendance record book to monitor changes in attendance attributable to the lessons of the campaign
In ESPrsquos 2007 Annual Work Plan the operationalization of these opportunities are presented using the integrated approaches developed by the project to describe programs
1 Blue Thread In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Locations include Krueng Aceh DAS Deli Padang Cianjur Subang Progo and the Upper Brantas
2 Clean Green and Hygiene ndash including sanitation systems This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Regional examples include Sunggal Wonokromo and Taman Sari
3 Anchor Projects In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - would be directed at a single community to enable its comprehensive transformation and development In this approach the findings of Participatory Rural Appraisals (PRAs) serve as the flexible entry point to the community Several locations are being developed and are represented in the second annual work plan
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 7
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 8
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 9
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 10
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 12
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 13
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 14
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
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Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
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PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
43 INTEGRATION IN COMMUNITIES ESP has worked with several USAID partners in communities These have included SWS EcoAsia Mercy Corps HSP AIDS Prevention Program (ASA) Decentralized Basic Education (DBE) 1 and DBE 2 ESP has particularly strong and growing working relationships with SWS in several project sites ESP has been particularly strong in forming networks of community-level stakeholders as a core part of their engagement of urban peri-urban and rural communities In selected locations ESP has made its network available for SWS to access its as promoters and non-traditional retail vendors of the SWS product An example from near Bandung is presented in the following box
Box 4 Commercializing Air Rahmat in Mekarjaya
In other locations ESP has had the opportunity to collaborate with HSP around physical improvements to health facilities An example from Aceh is described in the following box
Box 5 Reopening Sanitation Clinics in Meulaboh
ESP has collaborated with EcoAsia to provide drinking water supplies to urban poor populations with Mercy Corps and ASA (HIVAIDS prevention program) in urban Jakarta on solid waste management and handwashing campaigns and with DBE in providing sanitation facilities and hygiene education in schools To date collaboration between BHS partners ndash and their varying approaches to community engagement - has not led to difficulties from conflicting approaches applied at the community level but as HSP and ESP increasingly work to strengthen the capacity of community-level health care providers ndash particularly posyandus ndash increasing attention will need to be given to ensuring that the approaches taken by the two projects are consistent and reinforcing between where they intersect in the community In all of their field locations ESP staff integrate their activities with local partners including international NGOs local NGOs government and others The list of partners is literally too long to present In these cases the local partner is typically be placed in the lead
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 8
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 9
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 10
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 11
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 12
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 13
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 14
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
position and ESP makes every effort to provide support to their approaches and their objectives A successful example of this in Aceh is presented in the following box
Box 6 Collaboration on Handwashing Campaigns in Aceh
44 WORKPL ANNING FOR INTEGRATION
The primary purpose of this consultancy was to work with the ESP Team on the development of the ESP 2007 Annual Work Plan ESP views this Work Plan as critical to ensuring that all ESP activities conducted in the next project year maximize their integration outside of narrow technical specialties and contribute toward USAIDBHSrsquo overall Strategic Objective of reduced prevalence of diarrheal disease in young children To facilitate this integration as regional staff develop their work plans the consultant worked with ESP national staff to develop detailed guidelines for regions to use to clearly plan integrated activities and to show to outside readers how the projectrsquos technical components would be integrated on the ground to achieve diarrhea reduction through Blue Threads Clean Green and Hygiene approaches and Anchor Projects These guidelines are shown in Appendix 3 The outcome from the application of the guidelines can be seen in the ESP 2007 Annual Work Plan
5 TRAINING AND CAPACITY BUILDING
During this consultancy training and capacity building were provided in three areas (1) integrated approaches (2) Health and Hygiene work planning and (3) monitoring and evaluation planning Three of the integrated approaches proposed during this consultantrsquos JanuaryFebruary 2006 assignment (Blue Thread Clean Green and Hygiene Anchor Projects) have entered the ESP vernacular and are being used to guide the preparation of the 2007 Annual Work Plan But despite ESP staff reading the report from that assignment and reviewing the accompanying presentation with the Chief of Party and the Deputy Chief of Party the regional staff had not yet embraced the approaches in their daily work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 9
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 10
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 11
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 12
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 13
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
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PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
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Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO ltFEFF004b00e40079007400e40020006e00e40069007400e4002000610073006500740075006b007300690061002c0020006b0075006e0020006c0075006f0074002000410064006f0062006500200050004400460020002d0064006f006b0075006d0065006e007400740065006a00610020006c0061006100640075006b006100730074006100200074007900f6007000f60079007400e400740075006c006f0073007400750073007400610020006a00610020007600650064006f007300740075007300740061002000760061007200740065006e002e00200020004c0075006f0064007500740020005000440046002d0064006f006b0075006d0065006e00740069007400200076006f0069006400610061006e0020006100760061007400610020004100630072006f0062006100740069006c006c00610020006a0061002000410064006f00620065002000520065006100640065007200200035002e0030003a006c006c00610020006a006100200075007500640065006d006d0069006c006c0061002egt SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged 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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
As part of consultations with the regional teams in East Java Central Java and West Java the consultant reviewed the presentation with staff and solicited their questions in advance of asking them to develop their integrated regional work plans in accordance with the approaches Many questions were asked by regional leadership and staff as they began to absorb the implications of the approaches to their daily planning and efforts Their new-found grasp of the approaches will be reflected in the 2007 Plan The national-level Health and Hygiene Communication Specialist also invited assistance in redefining her position and 2007 work plan to better meet the upcoming limitations and needs of the project Her regional staff have gained capacity during the past year but still the Communication Specialist spent significant time in an implementing role leading her staff through community mobilization hygiene campaigns and project requirements As ESP has become somewhat limited by budget reductions her role as implementer and the necessary travel and time required in communities has become untenable It is now time for her to become the true coordinator of her program ndash managing the direction of her staff and developing unifying modules of information materials and skill-building based on local achievements during the first 18 months of implementation An example of one of the modules are the materials and locally-produced scripts of a hygiene communication puppet show developed in East Jave and ready to be used by regional staff during the remainder of the project This is described in the following box
Box 7 Handwashing Puppet Show Engages Children in Contest
The Health and Hygiene Communication Coordinatorrsquos work plan for 2007 needed to be significantly different from her previous plan and considerable time was spent in drafting this new work plan before working with regional staff The resulting draft work plan before refinement and integration with the POC Coordinatorrsquos work plan is presented in Appendix 5 The Health and Hygiene Communication Coordinatorrsquos 2007 work plan emphasizes her conducting four new sub-tasks to maximize her support to her regional staff (1) Creating and Using ldquoPackagesrdquo for Action and Advocacy (2) Regional Specialist Skill Building (3) Ensuring Collaboration for Diarrhea Prevention and (4) Supporting and Completing Local Activities and Partner Collaboration These Sub-Tasks clearly enable her to concentrate on multiplying her talents through her staff and providing tools to them that enable them to carry out unified programs in each ESP region They are also consistent with the framework for strategic communication developed for ESP in August 2006 Her 2007 work plan has been built on several key lessons her team learned during the previous year These include (1) building and supporting networks including school teachers and not focusing too intensively directly on working with only schools (2) including ldquotraditional knowledgerdquo and Koranic learning in information campaigns and community-based behavior change programs (3) the need to deepen her programrsquos involvement in certain
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 10
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 11
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 12
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 13
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 14
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly 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FRA 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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
sites to achieve behavior change while also mobilizing campaigns on handwashing with soap at every opportunity (4) the great potential in integrating community-based solid waste management with handwashing campaigns in as many field locations as possible (5) the need to make interactive tools available widely down to the ldquocadrerdquo level of community motivators and (6) the need for on-going monitoring of three key behaviors ndash handwashing at proper times with proper technique safe disposal of childrenrsquos excreta and safe household management of drinking water To enable ESP to rapidly address the last lesson about the need for improved monitoring the Coodinator and the consultant have drafted a ldquo10 minute monitoringrdquo questionnaire for rapid collection of data regularly from as many project sites as possible A first draft of the questionnaire is presented in Appendix 6 It is adapted from a selected content of the BHS baseline survey conducted throughout the country in late 2005 It contains brief questions to gather information regularly on the 3 key behaviors and the local prevalence of diarrhea in children under the age of 3 It is proposed for use by posyandu staff twice each year ndash once in the dry season and once in the rainy season to monitor community-level improvement over time To date only anecdotal information has been collected demonstrating positive impacts of handwashing campaigns But these qualitative signs are positive family money set aside to help the sick is not going down so fast in communities targeted by campaigns and school absenteeism has been shown to be reduced as described in the following box
Box 8 Handwashing with Soap Correlated with Decreased School Absenteeism
Informal means of monitoring impact will continue as ldquo10 minute monitoringrdquo is conducted Specifically the monitoring of school attendance records will be done more widely in conjunction with ldquo10 minute monitoringrdquo at posyandus HSP will be supplementing these data with annual LQAS results and the two projects are poised to collaborate again in 2009 on a repeat of the comprehensive baseline survey from 2005
6 CONCLUSIONS Multi-sectoral integration is now more strongly in the ESP vernacular (Bahasa ESP) than ever before And the importance of Hygiene Improvement for diarrheal disease reduction has been elevated to the core of project thinking planning and action Intensive support has been provided to national and regional ESP staff during the preparation of their 2007 work
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 11
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 12
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 13
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 14
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged 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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
plans to ensure that this collaboration and attention to health outcomes remain central throughout the year ESP staff have made great strides in moving out of the technical ldquosilosrdquo they worked in only 9 months ago They now are committed to not only their component-focused project outcomes but also ndash through a ldquosilo+rdquo approach - to identifying and acting on opportunities to integrate with other specialties to generate synergistic impact on diarrhea in young children A shift in mindset is not an easy process for any professional to internalize but the ESP staff have taken enormous strides forward in expanding their approaches As with any shift in mindset the proof of its adoption will be in continued action The 2007 ESP Work Plan has set the ESP team on a course toward adoption of integration and improved health impact and the coming year will yield the conclusions of how thorough their adoption is and how great their outcomes are They have established the potential to collectively act to reduce the level of debilitating diarrheal diseases and the annual unnecessary death of 100000 young children in Indonesia The author looks forward to the outcomes of the next year
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 12
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 13
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 14
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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ESP 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FRA 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 SUO 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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDICES APPENDIX 1 SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 APPENDIX 2 CONTACTS DOCUMENTS AND SCHEDULE APPENDIX 3 DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS APPENDIX 4 DEFINING PREVALENCE AND INCIDENCE APPENDIX 5 PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR APPENDIX 6 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 13
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 14
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 1 ndash SCOPE OF WORK FOR ENVIRONMENTAL HEALTH SPECIALIST ndash AUGUSTSEPTEMBER 2006 BACKGROUND The Environmental Services Program (ESP) is a fifty-eight month program funded by the United States Agency for International Development (USAID) and implemented under the leadership of Development Alternatives Inc (DAI) ESP works with government private sector NGOs community groups and other stakeholders to promote better health through improved water resources management and expanded access to clean water and sanitation services The period of the project is from December 2004 through September 2009 ESP activities are focused on seven High Priority Integrated Provinces (HPPs) Nanggroe Aceh Darussalam North Sumatra West Sumatra East Java Central JavaYogyakarta West JavaDKI Jakarta and Banten ESP also supports a limited set of activities in four Special Imperative Areas (SCIAs) Balikpapan Manado Manokwari and Jayapura ESP is part of USAIDIndonesiarsquos Basic Human Services (BHS) Strategic Objective (SO) which focuses on the interdependence of health and the environment and their effect on health outcomes USAIDBHS activities strive to improve the quality of three basic human services water foodnutrition and health to improve the lives of Indonesians ESP partners under the BHS umbrella include the Health Services Program (HSP) Safe Water Systems (SWS) and Development Assistance Program (DAP) international NGOs OBJECTIVES (SCOPE) ESP takes a lsquoRidges to Reefsrsquo approach to linking water resources management with improved health Integrated technical components include Watershed Management and Biodiversity Conservation focusing on raw water resource conservation and rehabilitation as well as biodiversity conservation Environmental Services Delivery ensuring increased access to clean water sanitation services and improved hygiene behavioral change and Environmental Services Finance leveraging necessary investment in infrastructure and environmental service rewards In Aceh ESP has a fourth technical component Environmentally Sustainable Design and Implementation ESP also manages cross-cutting technical support in public outreach and communications health and hygiene communications GIS gender and small grants All of ESPrsquos work is implemented in an integrated manner where links are made among various technical components as well as with our USAIDBHS partner programs As ESP field activities mature ESP has growing networks of community groups NGOs government agencies universities and media The purpose of this consultancy is to work with the ESP Team and partners (including USAIDBHS USAIDBHS program partners and ESP government and non-government partners in Jakarta and the field) on the development of the ESP 2007 Annual Work Plan in order to ensure ESP activities support the overall Strategic Objective of reduced incidence of diarrheal disease in children This includes identifying opportunities for integration of health-related (specifically diarrhea reduction -related) activities and messages are incorporated into a broad range of ESP Work Plan tasks and activities Additionally this includes providing training and capacity building necessary to achieve this level of integration
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 14
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
This SOW builds off a previous successfully completed assignment by the same consultant Besides identifying clear opportunities for integration of health into a range of ESP activities this initial consultancy stimulated innovative approaches to broader integration with ESP and among USAIDBHS partners This SOW is designed to support the achievement of these opportunities through the upcoming Work Plan process TASKS (PERFORMANCE REQUIREMENTS) The proposed tasks and responsibilities of the Environmental Health Specialist are to work with ESP staff and partners during the 2007 Work Plan process to identify and ensure clear linkages with health especially for vulnerable women children and poor families in all aspects of ESP activities This will be achieved through the following tasks
1 Review relevant project and other documents especially those related to the Work Plan process
2 Interview key staff including but not limited to the Chief of Party (Parente) Component Advisors (Merrill Parra and Bustraan) Regional Advisors and Public OutreachCommunication Specialists to gain staff recommendations regarding priority project needs related to mainstreaming health into ESP work
3 Meet with USAIDBHS staff and partners to discuss BHS programming and to develop concepts for integrating health into ESP work
4 Participate in ESP Work Plan meetings including those at the regional and technical level providing specific oral and written input into the draft Workplan
5 Provide training and capacity building opportunity to ESP staff to ensure adequate incorporation of health issues in a wide range of ESP field acitivities
6 Provide specific support on the development of Health and Hygiene Behavior Change and Public Outreach Advocacy campaign development
7 Provide presentations to ESP staff and partners to raise awareness of links between health and environment and to highlight opportunities for building health concepts and messages into all aspects of ESP work
DELIVERABLES Deliverables associated with this consultancy include the following
1 Final report with specific recommendations to maximize program interventions between environment and health (link with water and diseases dengue diarrhea hygiene promotion etc) in the ESP 2007 Workplan due September 7 2006
2 Significant input into ESP 2007 Workplan in written form due September 7 2006 3 Training and Capacity Building activity for ESP field staff held by August 31 2006 4 Presentation of Final Report recommendations to USAIDBHS staff and partners
(HSP SWS DAP) Target date September 7 2006 5 USAIDBHS ESP CTO de-briefing Target date September 8 2006
PROPOSED VISIT SCHEDULE
This work will be conducted over a period of up to twenty (20) days from mid August through mid September
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 15
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly 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ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 2 ndash CONTACTS DOCUMENTS AND SCHEDULE PERSONS CONTACTED Environmental Services Program Ratu Plaza Building 17th Floor Jl Jend Sudiraman No 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 9594 (f) 62 ndash 21 ndash 720 4546 wwwesporid bull Bill Parente Chief of Party (m) 0812 104 3332 (e) bill_parentedaicom bull Reed ldquoBobberdquo Merrill Deputy Chief of Party (m) 0811 940 727 (e)
reed_merrilldaicom bull Alifah Sri Lestari Participatory Monitoring and Evaluation Specialist (m) 0812 997 7622 bull Poppy EP Lestari Financial Specialist bull Benny Dyumharn Municipal Finance Specialist bull Hernandi Setionu Water Supply and Sanitation Coordinator bull Wouter Sahanaya Grants Manager bull Farah Amini Public Outreach and Communications Coordinator (m) 0818 149 147 bull Foort Bustraan Municipal Water Service Advisor (m) 0812 960 3566 (e)
foort_bustraandaicom bull Nona Pooroe Utomo Health Communication Coordinator (m) 0811 154 872 (e)
nona_utomodaicom bull Ardita Ccedilaesari Program Communcation Specialist bull Daz Kitchener Watershed Management Specialist (m) 0818 291 1416 (e)
djkitcheneryahoocom wwwvillajoglocom villas bull Idham Aroyad PAM Jakarta bull Winarko Hari National Sanitation Coordinator bull Saiful Ely Municipal Finance Specialist bull Nur Endah Shofiani WATSAN Specialist Massage for the Family Bersih Sehat Hotel Sahid Jaya Lantai 3 (Kolam Renang) Jl Jend Suriman No 86 Jakarta 10220 (t) (62 ndash 21) 570 ndash 4444 x1840 Open daily 10a ndash 9p
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 16
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly 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ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA ltFEFF005500740069006c006900730065007a00200063006500730020006f007000740069006f006e00730020006100660069006e00200064006500200063007200e900650072002000640065007300200064006f00630075006d0065006e00740073002000410064006f00620065002000500044004600200070006f007500720020006400650073002000e90070007200650075007600650073002000650074002000640065007300200069006d007000720065007300730069006f006e00730020006400650020006800610075007400650020007100750061006c0069007400e90020007300750072002000640065007300200069006d007000720069006d0061006e0074006500730020006400650020006200750072006500610075002e0020004c0065007300200064006f00630075006d0065006e00740073002000500044004600200063007200e900e90073002000700065007500760065006e0074002000ea0074007200650020006f007500760065007200740073002000640061006e00730020004100630072006f006200610074002c002000610069006e00730069002000710075002700410064006f00620065002000520065006100640065007200200035002e0030002000650074002000760065007200730069006f006e007300200075006c007400e90072006900650075007200650073002egt ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE ltFEFF0041006e007600e4006e00640020006400650020006800e4007200200069006e0073007400e4006c006c006e0069006e006700610072006e00610020006f006d002000640075002000760069006c006c00200073006b006100700061002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e00740020006600f600720020006b00760061006c00690074006500740073007500740073006b0072006900660074006500720020007000e5002000760061006e006c00690067006100200073006b0072006900760061007200650020006f006300680020006600f600720020006b006f007200720065006b007400750072002e002000200053006b006100700061006400650020005000440046002d0064006f006b0075006d0065006e00740020006b0061006e002000f600700070006e00610073002000690020004100630072006f0062006100740020006f00630068002000410064006f00620065002000520065006100640065007200200035002e00300020006f00630068002000730065006e006100720065002egt ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Regional Teams A Central Java
Jl Pandega Marta No 41 Catur Tunggal ndash Depok Sleman ndash Jogyakarta 555281 (t) 62 ndash 274 ndash 561 820 bull Sharon Lumbantobing Regional Advisor (m) 0811 906 636 (e)
Sharon_lumbantobingdaicom bull Angela Ika Community-based Water Supply and Sanitation bull Daisy R Malino Office Manager bull Nanang Budiyanto Agroforestry Specialist bull M Sigit Widodo Watershed Management Specialist bull Akbar Ario Digdo Public Outreach and Communication Specialist bull Danji Anom Masta ndash Rare ndash Social Marketing bull Abrar Solikhin Regional Accountant bull Meity Jovita Admistration Assistant bull Judy Kurniawan GIS Specialist bull Afghoni Water Supply and Sanitation Specialist bull Oni Hartono Water Supply and Sanitation Specialist bull Daisy Ruth Malino Office Manager bull Abrar Solikhin Regional Accountant bull Chatarina Meity Yovita Admin Assistant bull Novita Dyah ReceptionistSecretary bull Sukino Office Assistant bull Widiyanto Driver bull Slamet Widodo Gardener
Food Pecel Solo Waroeng Tempo Doeloe Jl Dr Soepomo No 55 (Pasar Beling) Mangkubumen (t) 0271 - 737379 or Jl Palagan Tentara Pelajar No 52 (next to Hyatt Hotel) (t) 0274 ndash 866588 [mixed vegetable plates with rice date juice (jus korma)] Gadjah Wong Jalan Gejayan (intersection of Kali Gadjah Wong and Jalan Gelayan) (t) 0274 ndash 885306 [restaurant with music variety gamelan jazz country] Omah Duwur Restaurant and Bar (Kota Gede silver town) Jl Modnorakan 252 (t) 374 952 [Dutch colonial house good breeze amid 5 mosques]
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 17
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Lodging Yogyakarta Plaza Hotel Jl Gejayan Complex Colombo (t) 62 ndash 274 ndash 584 - 222
B West Java
bull Ahmad Roshid Regional Coordinator bull Abdul ldquoArmanrdquo Rohman Coordinator ESP CianjurAgroforesty and Agricultural
Specialist (m) 0813 185 84886 bull Aditiajaya Caesari Agroforestry amp Rural Livelihood Development Specialist (m)
0812 808 6857 bull Selviana Hehanusa Community Based Water and Sanitation Specialist (m) 0812 106
2257 (e) selviana_hehanussadaicom bull Alwis Rustam Public Outreach and Communication Specialist bull Hari Kushardanto Pride Conservation Campaign bull Sugiantoro Health and Hygiene Communication Specialist bull Adithia Permana Regional Accountant bull Ida Harun Office Manager bull Seskoadi Sidik PDAM Wat San Specialist
Food Bandung Dapur Babah Elite Jl Veteran 18 ndash 19 Jakarta Pusat (62 ndash 21) 385 5653 (Sundanese food)
Dakken Coffee and Steak Jalan LLRE Martadinata No 67 Bandung 40114 (t) (62 ndash 22) 420 9507 (fine coffee)
Sambara Jl Trunojoyo No 64 Bandung (t) (62 ndash 22) 420 8757
C Nanggroe Aceh Darussalam (NAD) Jl Teuku Iskandar No 74 Lamglumpang Ulee Kareng Banda Aceh 23117 (t) 62 ndash 651 28282 (f) 62 ndash 651 28282 bull Dr John Pontius Regional Advisor (m) 0813 602 79997 (e)
johnipm2002yahoocouk bull Hendra Syahrial Community-based Coastal Rehabilitation bull Lofan Watershed Management
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 18
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly 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ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR 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 PTB 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 SUO ltFEFF004b00e40079007400e40020006e00e40069007400e4002000610073006500740075006b007300690061002c0020006b0075006e0020006c0075006f0074002000410064006f0062006500200050004400460020002d0064006f006b0075006d0065006e007400740065006a00610020006c0061006100640075006b006100730074006100200074007900f6007000f60079007400e400740075006c006f0073007400750073007400610020006a00610020007600650064006f007300740075007300740061002000760061007200740065006e002e00200020004c0075006f0064007500740020005000440046002d0064006f006b0075006d0065006e00740069007400200076006f0069006400610061006e0020006100760061007400610020004100630072006f0062006100740069006c006c00610020006a0061002000410064006f00620065002000520065006100640065007200200035002e0030003a006c006c00610020006a006100200075007500640065006d006d0069006c006c0061002egt SVE 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50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
bull Jefry Budiman Municipal WATSAN Specialist bull Suhendi WATSAN Specialist bull Eri Arianto Community-based WATSAN Specialist
D North Sumatra
Jl Slamet Riyadi No 6 Medan (t) 061 ndash 453 1007 bull Russ Dilts Regional Advisor (m) 0816 ndash 189 4464 (e) russ_diltsdaicom bull Hambal Watershed Management Specialist bull Bertha Ulina Nababan Health and Hygiene Specialist bull Ferry Boyke Municipal WATSAN Specialist bull Ricky Pasha Community-based WATSAN Specialist bull Darma Aibu Public Outreach and Communication bull Idham Arsyad PAM Specialist bull Julian Syali Community-based WATSAN Specialist bull Khairul Rizal GISSpatial Planner Specialist bull Ton Betrit WSM Field Assistant bull Widyastana Cahyana Watershed Management and Agro-forestry
Food Tempo Doeloe ldquoOld Houserdquo (Kedai Makan amp Minum) Jl KH Wahid Hasyim (Sei Wampu) No 54 Medan (t) (62 ndash 61) 456 8135 Dinner in a traditional local house
E East Java Wisma Dharmala 7th Floor Suite 3A Jl Panglima Sudiman No 101-103 Surabaya 60251 (t) 62 ndash 31 ndash 5470 22679 (f) 62 ndash 31 ndash 5470 173 bull Dr Jim Davies Regional Advisor (m) 62 ndash 811 320 383 (e) james_daviesdaicom bull Didik Suprayogo Watershed Management Specialist (m) 8123 399 548 didik_
suprayogodaicom bull Arief Lukman Hakim Sustainable Agriculture Extension Specialist (m) 811 320 772
(e) arief_hakimdaicom bull Suko Widodo Public Outreach and Communication Specialist bull Balgis Nurmajemun Health and Hygiene Specialist bull Retno Utami Receptionist and Secretary bull Ernawati Utami Office Manager bull Sherly Tulung Field Accounting bull Amrullah GIS Specialist bull Ratih Astati Dewi WATSAN Field Assistant bull Ristina Aprillia Community-based WATSAN Specialist bull Agus Hernandi Watershed Management Specialist
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 19
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA 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 ITA ltFEFF005500740069006c0069007a007a006100720065002000710075006500730074006500200069006d0070006f007300740061007a0069006f006e00690020007000650072002000630072006500610072006500200064006f00630075006d0065006e00740069002000410064006f006200650020005000440046002000700065007200200075006e00610020007300740061006d007000610020006400690020007100750061006c0069007400e00020007300750020007300740061006d00700061006e0074006900200065002000700072006f006f0066006500720020006400650073006b0074006f0070002e0020004900200064006f00630075006d0065006e007400690020005000440046002000630072006500610074006900200070006f00730073006f006e006f0020006500730073006500720065002000610070006500720074006900200063006f006e0020004100630072006f00620061007400200065002000410064006f00620065002000520065006100640065007200200035002e003000200065002000760065007200730069006f006e006900200073007500630063006500730073006900760065002egt JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Food Rumah Makan Handayani Jalan Kertajaya 42 Surabaya Coconut liquor Special chicken
USAIDINDONESIA
American Embassy Jl Medan Merdeka Selatan 3-5 Jakarta 1080 (t) 62 ndash 21 ndash 3425 9362 (f) 62 ndash 21 ndash 380 6694 bull Irma Setiono Water and Environment Project Specialist (m) 0812 857 9063 (e)
isetionousaidgov bull Prijanto Santoso (e) psantosousaidgov bull Theresa Taino Director of Water and Environment Projects (e) ttainousidgov bull Amreeta Regmi Municipal Water Services Advisor (e) aregmiusaidgov bull Suzanne Billharz Deputy Director of Water and Environment Projects (e)
sbillharzusaidgov Aman Tirta ndash Safe Water System Project
Ratu Plaza Office Tower 20th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 720 7776 (f) 62 ndash 21 ndash 720 2075
Robert Ainslie Chief of Party (m) 0811 154 282 (e) Robertainsliejhuccporid
Health Services Project
Ratu Plaza Office Tower 16th Floor Jl Jendral Sudirman Kavling 9 Jakarta 10270 (t) 62 ndash 21 ndash 723 7715 (f) 62 ndash 21 ndash 7278 8924 Reggie Gibson Chief of Party
Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs
111 Market Place Suite 310 Baltimore Maryland 21202 Jakarta 10270 (t) 410 ndash 659 6300 (f) 410 ndash 659 6266 wwwjhuccporg Jennifer Bowman (e) jbowmanjhuccporg
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 20
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN ltFEFF9ad854c18cea51fa529b7528002000410064006f0062006500200050004400460020658766f8306e4f5c6210306b4f7f75283057307e30593002537052376642306e753b8cea3092670059279650306b4fdd306430533068304c3067304d307e3059300230c730b930af30c830c330d730d730ea30f330bf3067306e53705237307e305f306f30d730eb30fc30d57528306b9069305730663044307e305930023053306e8a2d5b9a30674f5c62103055308c305f0020005000440046002030d530a130a430eb306f3001004100630072006f0062006100740020304a30883073002000410064006f00620065002000520065006100640065007200200035002e003000204ee5964d3067958b304f30533068304c3067304d307e30593002gt KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DOCUMENTS REVIEWED Individual and Society in Java A Cultural Analysis By Niels Mulder Gadjah Mada University PressUniversity of Blelefeld Germany Mysticism and Everyday Life in Contemporary Java By Niels Mulder Singapore University Press 1978 Ohio University Press June 1978 ISBN 08214 04679 Environmental Services Program ESP News editions 6 ndash 7 Environmental Services Program Performance Monitoring Plan (PMP) August 2006 Environmental Services Program Nanggroe Aceh Darussalam Annual Work Plan with life of project targets (October 2005 through September 2006) October 2005 Mysticism in Java Ideology in Indonesia By Niels Mulder Pepin Press 1998 USAID Environmental Health Project Assessing Hygiene Improvement Guidelines for Household and Community Levels Letter of a Javanese Princess By Raden Adjeng Kartini Edited with introduction by Hildred Geerts University Press of America 4720 Boston Way Lanham Maryland The Asia Society ISBN 0-8191-4758-3 Aman Tirta (Safe Water System) Project Year Two Work Plan April 2006-February 2007 June 2006 World Bank Water Supply Program Sanitasi Perkotaan Potret Harapan Dan Peluang Ini Bukan Lagi Urusan Pribadi June 2006 Environmental Services Program Action Research on Point of Use Drinking Water Treatment Alternatives as appropriate for underprivileged households in Jakarta Mindy Weimer July 2006 Johns Hopkins UniversityCenter for Communication Programs Strategic Framework for Environmental and Hygiene Behavior Change Communication and Advocacy Draft August 3 2006 Environmental Services Program First Annual Work Plan and Life of Project Plan April 2005
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 21
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO ltFEFF004b00e40079007400e40020006e00e40069007400e4002000610073006500740075006b007300690061002c0020006b0075006e0020006c0075006f0074002000410064006f0062006500200050004400460020002d0064006f006b0075006d0065006e007400740065006a00610020006c0061006100640075006b006100730074006100200074007900f6007000f60079007400e400740075006c006f0073007400750073007400610020006a00610020007600650064006f007300740075007300740061002000760061007200740065006e002e00200020004c0075006f0064007500740020005000440046002d0064006f006b0075006d0065006e00740069007400200076006f0069006400610061006e0020006100760061007400610020004100630072006f0062006100740069006c006c00610020006a0061002000410064006f00620065002000520065006100640065007200200035002e0030003a006c006c00610020006a006100200075007500640065006d006d0069006c006c0061002egt SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
CONSULTANCY SCHEDULE DayDate Activity Location Participants
Thur-Sat 17-19 Aug 2006
Travel to Indonesia Economy class McGahey
Sunday 20 August
Preparatory meetings with Health and Hygiene Coordinator and JHUCCP staff Jakarta McGahey Utomo
Bowman
Monday 21 August
Document review and project update
Jakarta McGahey Merrill
Tuesday 22 August
ESP introductions Activity review by region
ESP Jakarta McGahey Merrill Utomo
Wednesday 23 August
Activity review by region PMP input per Task SD-7 indicator definition
ESP Jakarta McGahey Utomo Lestari
Thursday 24 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Boorstran Amini
Friday 25 August
Health and Hygiene national level work planning ESP Jakarta McGahey Utomo
Amini
Saturday26 August
Document review Presentation preparation for Central Java Report preparation
Jakarta McGahey
Sunday 27 August
Travel to Central Java Region
Jakarta Yogyakarta
McGahey Utomo
Monday 28 August
Integrated workplanning with Central Java team Briefing to Central Java team on integrated approaches from February 2006 consultancy
Yogyakarta McGahey Utomo
Tuesday 29 August
Integrated workplanning with Central Java team PMP reporting Travel to East Java Region
Yogyakarta Surabaya
McGahey Amini Lestari
Wednesday 30 August
Integrated workplanning with East Java team
Surabaya McGahey Amini
Thursday 31 February
Briefing to East Java Team on integrated approaches from February 2006 consultancy Integrated workplanning with East Java team
Surabaya McGahey Amini
Friday 1 September
Travel to Jakarta Lessons learned to date and strategic planning forward
ESP Jakarta McGahey Merrill Utomo Lestari
Saturday 2 September
Creating Detailed Guidelines for the Preparation of Regional Work Plan by Regional Teams
Jakarta McGahey Merrill
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 22
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN ltFEFF004200720075006700200069006e0064007300740069006c006c0069006e006700650072006e0065002000740069006c0020006100740020006f007000720065007400740065002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e007400650072002000740069006c0020006b00760061006c00690074006500740073007500640073006b007200690076006e0069006e006700200065006c006c006500720020006b006f007200720065006b007400750072006c00e60073006e0069006e0067002e0020004400650020006f007000720065007400740065006400650020005000440046002d0064006f006b0075006d0065006e0074006500720020006b0061006e002000e50062006e00650073002000690020004100630072006f00620061007400200065006c006c006500720020004100630072006f006200610074002000520065006100640065007200200035002e00300020006f00670020006e0079006500720065002egt DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
DayDate Activity Location Participants
Sunday 3 September Travel to Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Monday 4 September Sumatra island workplan meeting Medan
McGahey Utomo Merrill Amini Lestari
Tuesday 5 September
Sumatra island workplan meeting Travel to Jakarta
Medan McGahey Utomo Merrill Amini Lestari
Wednesday 6 September
Meeting with USAIDIndonesia ndash Taino Billharz Travel to Yogyakarta
Jakarta McGahey Merrill Parente
Thursday 7 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Friday 8 September Java island workplan meeting Yogyakarta
McGahey Merrill Utomo Lestari Amini Burstraan
Saturday 9 September
Report drafting Travel to Jakarta
Yogyakarta McGahey Utomo Lestari
Sunday 10 September Report drafting Jakarta McGahey
Monday 11 September Work Plan Preparation Jakarta McGahey Merrill
Utomo Lestari
Tuesday 12 September
Regional Integrated Work Planning ndash West Java region Bandung McGahey
Wednesday 13 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Thursday 14 September National-level Work Planning Jakarta McGahey Merrill
Utomo
Friday 15 September
Report finalization
Jakarta McGahey
Saturday 16 September Travel to Washington DC Economy
class McGahey
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 23
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 3 ndash DETAILED GUIDELINES FOR PREPARATION OF REGIONAL WORK PLANS BY REGIONAL TEAMS Basic guidelines
1 Each Regional Director is responsible for the completion of all sections of this chapter for their respective region The final ESP workplan will contain one full section for each region
2 The total number of pages for each region should be between 15 and 20 Recommended page lengths for each section are presented below
3 Section headings are presented below Where ldquoXXXrdquo is written in these guidelines the name of the authorrsquos region should be written in your Regional Work Plan
4 To help with consistency throughout the document there is a heirarchy of terminology that we will use It is presented in the following table
Term Description Comments
Task These are defined by ESPrsquos contract and cannot be changed without complex discussions Please accept them as given and not to be altered Each Task has a related PMP Outcome and an associated Indicator Each Task will be accomplished by completing a set of Sub-Tasks
Example Task WS3 Forest and Protected Areas Conservation Management
Outcome Outcomes are defined in ESPrsquos Scope of Work There is one Performance Indicator Reference Sheet in the PMP describing each project Outcome ESPrsquos Outcomes ldquocontribute tordquo the USAIDBHS Strategic Objective concerning diarrhea prevention
Example ESP Outcome WS 1 Formation of adequate policies at the local level contributes to BHS SIR1-1 Advocacy for evidence-based essential human services issues increased
Target Targets quantify incremental progress toward achieving Outcomes Targets are established in the PMP Reporting progress against the Targets proposed in the PMP is done in each ESP Annual Report
Example Outcome SD 1 Improve PDAM technical operational and financial management Target Definition PDAMs achieving above baseline performance index Targets Year One (NA) Year Two (8) Year Three (16) Year Four (24) Year Five (33) Total (33)
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 24
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly 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ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA 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 ITA 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 JPN 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 KOR 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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Deliverable Deliverables are specific products or events that ESP completes
Example Work plan Quarterly report Final report Trip report Workshop Training
Sub-Task ESP defined a first set of Sub-Tasks in our first work plan The project is monitoring and reporting on the completion of each Sub-Task over the life of the project Each region does not need to complete work related to each Sub-Task Regions should select to work on those Sub-Tasks that are most appropriate to their program and partners Additional Sub-Tasks can be added but their description and numbering system need to be consistent across regions Each Sub-Task will be accomplished by completing a set of Activities
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor
Result Results qualitatively describe the successful contributions of Sub-Tasks toward Targets and Outcomes Each Sub-Task generates one or more Results
Example Sub-Task SD3-1 Encourage and Increase Piped (PDAM) Water Access for the Urban Poor Results Increased piping in poor communities Increased users of PDAM water in poor communities
Activity Activities are the sequential steps that staff will take to complete each Sub-task
Example Activity 1 Provide training on ldquoStrategic Communication for Behavior Changerdquo Activity 2 Monitor use of training content as it is applied in regional programs
Output Outputs describe the objective of an Activity They tell what an Activity contributes toward making future Activities possible Each activity generates an Output Several Outputs combine to generate a Result
Example Activity Provide training on ldquoStrategic Communication for Behavior Changerdquo Output All regions receive five-day training to improve collaboration and apply Strategic Communication approaches and tools
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 25
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Term Description Comments
Resources Resources are the specific materials and people needed to achieve each Activity or Sub-task By specifically naming ESP staff resources in integrated programs you will clearly show how component technical skills are integrated within your regional programs
Example Sub-task WS3-2 Conduct Pride Campaign in priority sites Resources WSM specialist POC specialist HampH specialist small grant NGO partners
Time Frame
Time Frames should be as specific as possible without committing yourself to a window of time that is too small Time Frames should not be so general that it appears as if all of your Activities are going on all at the same time Activity or Sub-Task Time Frames should clearly show how they are sequential
Example of reporting format October 2006 ndash January 2007
The following are the sections that will be prepared by each regional team Together they constitute the Regional Work Plan that will be submitted in the complete ESP Work Plan to USAID XXX1 Integrated Approach in XXX Region Regional teams will provide an introduction describing how your region is approaching integration of components cross-cutting activities and partners outside ESP Describe your key achievements and lessons learned during the past year regarding integration and your vision and opportunities for the next year LIMIT 2 PAGES XXX2 Targets Toward PMP Outcomes in XXX Region This section summarizes the contributions your Region will make toward ESPrsquos PMP Outcomes during the next year Present this information in the following tabular format with limited additional narrative if necessary to clarify how the Targets are applied in your region
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
Leveraging other financial support for ESP
Collaborative program to support the Strategic Objective of Basic Human Services
Public Outreach and Communications Program
Cross-cutting activities
People participating in ESP trainings and workshops
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 26
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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PreserveOverprintSettings true StartPage 1 SubsetFonts true TransferFunctionInfo Apply UCRandBGInfo Preserve UsePrologue false ColorSettingsFile () AlwaysEmbed [ true ] NeverEmbed [ true ] AntiAliasColorImages false CropColorImages true ColorImageMinResolution 300 ColorImageMinResolutionPolicy OK DownsampleColorImages true ColorImageDownsampleType Bicubic ColorImageResolution 300 ColorImageDepth -1 ColorImageMinDownsampleDepth 1 ColorImageDownsampleThreshold 150000 EncodeColorImages true ColorImageFilter DCTEncode AutoFilterColorImages true ColorImageAutoFilterStrategy JPEG ColorACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt ColorImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000ColorACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000ColorImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasGrayImages false CropGrayImages true GrayImageMinResolution 300 GrayImageMinResolutionPolicy OK DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN ltFEFF004200720075006700200069006e0064007300740069006c006c0069006e006700650072006e0065002000740069006c0020006100740020006f007000720065007400740065002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e007400650072002000740069006c0020006b00760061006c00690074006500740073007500640073006b007200690076006e0069006e006700200065006c006c006500720020006b006f007200720065006b007400750072006c00e60073006e0069006e0067002e0020004400650020006f007000720065007400740065006400650020005000440046002d0064006f006b0075006d0065006e0074006500720020006b0061006e002000e50062006e00650073002000690020004100630072006f00620061007400200065006c006c006500720020004100630072006f006200610074002000520065006100640065007200200035002e00300020006f00670020006e0079006500720065002egt DEU ltFEFF00560065007200770065006e00640065006e0020005300690065002000640069006500730065002000450069006e007300740065006c006c0075006e00670065006e0020007a0075006d002000450072007300740065006c006c0065006e00200076006f006e002000410064006f006200650020005000440046002d0044006f006b0075006d0065006e00740065006e002c00200076006f006e002000640065006e0065006e002000530069006500200068006f00630068007700650072007400690067006500200044007200750063006b006500200061007500660020004400650073006b0074006f0070002d0044007200750063006b00650072006e00200075006e0064002000500072006f006f0066002d00470065007200e400740065006e002000650072007a0065007500670065006e0020006d00f60063006800740065006e002e002000450072007300740065006c006c007400650020005000440046002d0044006f006b0075006d0065006e007400650020006b00f6006e006e0065006e0020006d006900740020004100630072006f00620061007400200075006e0064002000410064006f00620065002000520065006100640065007200200035002e00300020006f0064006500720020006800f600680065007200200067006500f600660066006e00650074002000770065007200640065006e002egt ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE ltFEFF0041006e007600e4006e00640020006400650020006800e4007200200069006e0073007400e4006c006c006e0069006e006700610072006e00610020006f006d002000640075002000760069006c006c00200073006b006100700061002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e00740020006600f600720020006b00760061006c00690074006500740073007500740073006b0072006900660074006500720020007000e5002000760061006e006c00690067006100200073006b0072006900760061007200650020006f006300680020006600f600720020006b006f007200720065006b007400750072002e002000200053006b006100700061006400650020005000440046002d0064006f006b0075006d0065006e00740020006b0061006e002000f600700070006e00610073002000690020004100630072006f0062006100740020006f00630068002000410064006f00620065002000520065006100640065007200200035002e00300020006f00630068002000730065006e006100720065002egt ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
PMP Outcome
No PMP Outcome Year 2 Targets in XXX Region
WSM 1 Formation of adequate policies at the local level
WSM 2 Increasing of rehabilitated land to improve watershed function for water supply
WSM 3 Increasing of biodiversity value under improved and local management
WSM 4 Improvement of watershed function directly impacted by the tsunami in Aceh
This is only applicable for reporting from the Aceh NAD team
SD 1 Improve PDAM technical operational and financial management
SD 2 Increase access to clean water
SD 3 Return communities in Aceh develop and implement improved water quality sanitation and solid waste management
This is only applicable for reporting from the Aceh NAD team
SD 4 Development of sewage treatment proposals
SD 5 Development of solid waste management systems
SD 6 Development of small-scale sanitation systems
SD 7 Behavior change interventions
FN 1 PDAM to operate at full cost-recovery
FN 2 Creating independent regulatory board
FN 3 Investment in the environmental services sector via DCA guarantee
FN 4 PDAMs achieve national credit rating
FN 5 Issuing revenue or general bond
FN 6 Leverage private sector resources to expand the impact of ESP program in Aceh
This is only applicable for reporting from the Aceh NAD team
Note the Aceh program also has a separate set of PMP Outcomes which that region needs to add to those in the above table LIMIT I PAGE XXX3 Integrating ESP Components in XXX Region This section is the key part of your writing Here you present how the Sub-Tasks you have planned for the next year will be combined in locations where you are applying your integrated approach described in your first section You are encouraged to organize these descriptions using the previously developed ESP integration themes
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 27
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB ltFEFF005500740069006c0069007a006500200065007300730061007300200063006f006e00660069006700750072006100e700f50065007300200064006500200066006f0072006d00610020006100200063007200690061007200200064006f00630075006d0065006e0074006f0073002000410064006f0062006500200050004400460020007000610072006100200069006d0070007200650073007300f5006500730020006400650020007100750061006c0069006400610064006500200065006d00200069006d00700072006500730073006f0072006100730020006400650073006b0074006f00700020006500200064006900730070006f00730069007400690076006f0073002000640065002000700072006f00760061002e0020004f007300200064006f00630075006d0065006e0074006f00730020005000440046002000630072006900610064006f007300200070006f00640065006d0020007300650072002000610062006500720074006f007300200063006f006d0020006f0020004100630072006f006200610074002000650020006f002000410064006f00620065002000520065006100640065007200200035002e0030002000650020007600650072007300f50065007300200070006f00730074006500720069006f007200650073002egt SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Blue Threads In the Blue Thread approach land management activities aimed at water source protection are integrated with household water treatment and hygiene behavior change communication among users of the water to prevent diarrhea Clean Green and Hygiene This approach optimizes the synergies created between solid waste management and handwashing to prevent diarrhea Anchor Sites In Anchor Projects the full range of expertise available to ESP ndash including health services facilitated by HSP - are directed at a single community to enable its comprehensive transformation and development Think Nationally Act Locally This theme can accommodate a range of national initiatives that play-out andor are supported at and adapted for the regional level It includes a majority of the Municipal Finance work some Protected Areas Management initiatives some PDAM capacity building work Community-based Sanitation Multi-Media Campaigns Longitudinal Studies etc
For each integrated location the way in which the integrated theme will be applied needs to be described in 1 or 2 paragraphs of narrative This description will then be followed by a table that includes only Sub-Task Name Resources Results and Time Frame The Results presented should pertain directly to the integrated program It is anticipated that each region will present descriptions of several of these integrated locations so please number each sequentially Use the following format and apply the definitions of terms presented on pages 1 and 2 of these guidelines XXX3A Clean Green and Hygiene Integrated Program in Kota Malang 1 or 2 paragraphs of introduction to the program Example
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
WS1-3 Multi-stakeholder watershed management forums established and functioning
WSM staff field assistant PRA materials
Watershed management forum capable of contributing to and directing priority integrated activities
Specifc names of villages neighborhoods etc
October-December 2006
SD5-2 IntroducePromote Options of Community Based Solid Waste System
CB-Solid Waste Specialist HampH Specialist WSM staff
Watershed management forum understands community-based solid waste management and commits to support implementation of a system
Specifc names of villages neighborhoods etc
January 2007
(new)SD7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy
Health and Communication Coordinator HampH Specialist WSM Specialist
Cadres community members and partners are trained and mobilized to support infrastructure construction and awareness campaigns ldquoMini-baselinesrdquo are initiated with posyandus
Specifc names of villages neighborhoods etc
January-April 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 28
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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PreserveOverprintSettings true StartPage 1 SubsetFonts true TransferFunctionInfo Apply UCRandBGInfo Preserve UsePrologue false ColorSettingsFile () AlwaysEmbed [ true ] NeverEmbed [ true ] AntiAliasColorImages false CropColorImages true ColorImageMinResolution 300 ColorImageMinResolutionPolicy OK DownsampleColorImages true ColorImageDownsampleType Bicubic ColorImageResolution 300 ColorImageDepth -1 ColorImageMinDownsampleDepth 1 ColorImageDownsampleThreshold 150000 EncodeColorImages true ColorImageFilter DCTEncode AutoFilterColorImages true ColorImageAutoFilterStrategy JPEG ColorACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt ColorImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000ColorACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000ColorImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasGrayImages false CropGrayImages true GrayImageMinResolution 300 GrayImageMinResolutionPolicy OK DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN ltFEFF004200720075006700200069006e0064007300740069006c006c0069006e006700650072006e0065002000740069006c0020006100740020006f007000720065007400740065002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e007400650072002000740069006c0020006b00760061006c00690074006500740073007500640073006b007200690076006e0069006e006700200065006c006c006500720020006b006f007200720065006b007400750072006c00e60073006e0069006e0067002e0020004400650020006f007000720065007400740065006400650020005000440046002d0064006f006b0075006d0065006e0074006500720020006b0061006e002000e50062006e00650073002000690020004100630072006f00620061007400200065006c006c006500720020004100630072006f006200610074002000520065006100640065007200200035002e00300020006f00670020006e0079006500720065002egt DEU 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 ESP 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 FRA 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 ITA ltFEFF005500740069006c0069007a007a006100720065002000710075006500730074006500200069006d0070006f007300740061007a0069006f006e00690020007000650072002000630072006500610072006500200064006f00630075006d0065006e00740069002000410064006f006200650020005000440046002000700065007200200075006e00610020007300740061006d007000610020006400690020007100750061006c0069007400e00020007300750020007300740061006d00700061006e0074006900200065002000700072006f006f0066006500720020006400650073006b0074006f0070002e0020004900200064006f00630075006d0065006e007400690020005000440046002000630072006500610074006900200070006f00730073006f006e006f0020006500730073006500720065002000610070006500720074006900200063006f006e0020004100630072006f00620061007400200065002000410064006f00620065002000520065006100640065007200200035002e003000200065002000760065007200730069006f006e006900200073007500630063006500730073006900760065002egt JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR ltFEFF004200720075006b00200064006900730073006500200069006e006e007300740069006c006c0069006e00670065006e0065002000740069006c002000e50020006f0070007000720065007400740065002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e00740065007200200066006f00720020007500740073006b00720069006600740020006100760020006800f800790020006b00760061006c00690074006500740020007000e500200062006f007200640073006b0072006900760065007200200065006c006c00650072002000700072006f006f006600650072002e0020005000440046002d0064006f006b0075006d0065006e00740065006e00650020006b0061006e002000e50070006e00650073002000690020004100630072006f00620061007400200065006c006c00650072002000410064006f00620065002000520065006100640065007200200035002e003000200065006c006c00650072002000730065006e006500720065002egt PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Name Resources Results Location Time Frame
Clean green and hygiene in Kota Malang
SD5-3 Implement Community Based Sanitation Management Systems
CB-Sanitation Specialist WSM staff HampH Specialist
Watershed management forum understands links between sanitation and health and they participate in System construction
Specifc names of villages neighborhoods etc
February-April 2007
SD7-2 DevelopImplement HampH Communications Programs and Awareness Campaigns
HampH Specialist WSM staff CB-Solid Waste Specialist CB-Sanitation Specialist POC Specialist
Local government supports campaign contributing to handwashing solid waste and sanitation objectives
Specifc names of villages neighborhoods etc
March-April 2007
LIMIT 12 PAGES XXX4 Integrating With Other Partners in XXX Region This section will begin with one or two paragraphs describing the lessons you have learned during your previous yearrsquos work with partners and a description of how these lessons will be applied toward accomplishing Sub-Tasks in your work plan for the next year Finally for this section you should complete a table using the following format for each Sub-Task you will be working on
Sub-Task BHS Partners Regional Partners ESP Partners
As appropriate HSP FSN andor SWS Government NGOs private sector others
Other regions National level
LIMIT 1 PAGE XXX5 Graphic Representation of Regional Work Plans Drawing from the North Sumatra poster as a model prepare A1-sized poster graphically depicting ESP regional activities in a manner that demonstrates geographic breadth as well as technical integration Include here one or two paragraphs that describe the locations and key points you want to make regarding the integration shown in the poster LIMIT frac12 PAGE
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 29
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA 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 ITA ltFEFF005500740069006c0069007a007a006100720065002000710075006500730074006500200069006d0070006f007300740061007a0069006f006e00690020007000650072002000630072006500610072006500200064006f00630075006d0065006e00740069002000410064006f006200650020005000440046002000700065007200200075006e00610020007300740061006d007000610020006400690020007100750061006c0069007400e00020007300750020007300740061006d00700061006e0074006900200065002000700072006f006f0066006500720020006400650073006b0074006f0070002e0020004900200064006f00630075006d0065006e007400690020005000440046002000630072006500610074006900200070006f00730073006f006e006f0020006500730073006500720065002000610070006500720074006900200063006f006e0020004100630072006f00620061007400200065002000410064006f00620065002000520065006100640065007200200035002e003000200065002000760065007200730069006f006e006900200073007500630063006500730073006900760065002egt JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKHE
ENVI
PLANNING FOR INTEGRATION ALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
RONMENTAL SERVICES PROGRAM WWWESPORID 30
Incidence ndash
Prevalence ndash
The incidence rate uses new cases in the numerator individuals with a history of a condition are not included Because diarrhea in developing countries is viewed as continually present the phrase ldquodiarrhea incidencerdquo is never used to characterize diarrhea in a community
The number of new occurrences of a condition (or disease) in a population over a period of time It is typically expressed as a rate X cases per a given population base (eg cases per 10000 or 100000 people)
Both measures of prevalence are proportions - as such they are dimensionless and should not be described as rates
Prevalence can also be measured over a period of time (eg children with diarrhea during the previous two weeks or one year) This type of prevalence is called period prevalence it is a combination of point prevalence and incidence Period prevalence is the most common measure of prevalence used in diarrhea monitoring
APPENDIX 4 ndash DEFINING PREVALENCE AND INCIDENCE A Definitions
The measure of a condition in a population at a given point in time (eg children with diarrhea now here referred to as point prevalence)
Prevalence = No of existing cases population at risk (during specified period of time)
Incidence = No of new cases population at risk
(during specified period of time) Even though individuals who have already developed the condition should be excluded incidence rates are often expressed based on the average population rather than the population at risk In the case of chronic conditions where most people appear to be at risk the distinction between populations at risk and the whole population appears to be less critical
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN ltFEFF004200720075006700200069006e0064007300740069006c006c0069006e006700650072006e0065002000740069006c0020006100740020006f007000720065007400740065002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e007400650072002000740069006c0020006b00760061006c00690074006500740073007500640073006b007200690076006e0069006e006700200065006c006c006500720020006b006f007200720065006b007400750072006c00e60073006e0069006e0067002e0020004400650020006f007000720065007400740065006400650020005000440046002d0064006f006b0075006d0065006e0074006500720020006b0061006e002000e50062006e00650073002000690020004100630072006f00620061007400200065006c006c006500720020004100630072006f006200610074002000520065006100640065007200200035002e00300020006f00670020006e0079006500720065002egt DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 5 ndash PRELIMINARY DRAFT INTEGRATED WORKPLAN FOR HEALTH AND HYGIENE COORDINATOR Task SD 7 Strategic Communication for Hygiene Behavior Change
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Finalize existing materials with USAID HW and ESP (PDAM optional) logos in accordance with contract
Game book HW stickers HW posters HW buttons puzzle jingle CD (Malang Wonokromo)
Ample numbers of all materials available for use in regional offices
October ndash December 2006
Formalize two-day introductory cadre training module (include handwashing monitoring at the household level)
How SW and HW work together in the community
Draft notes from previous cadre trainings
Cadre Training Module
October ndash December 2006
Sub-task 7-6 Create and Use ldquoPackagesrdquo for Action and Advocacy (1) Field Assistance and Implementer Package (2) Regional Specialist Package Formalize training module for
use by non-HH staff on HH component of field school curriculum
Field school curriculum
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
31
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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ESP 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 FRA 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 ITA ltFEFF005500740069006c0069007a007a006100720065002000710075006500730074006500200069006d0070006f007300740061007a0069006f006e00690020007000650072002000630072006500610072006500200064006f00630075006d0065006e00740069002000410064006f006200650020005000440046002000700065007200200075006e00610020007300740061006d007000610020006400690020007100750061006c0069007400e00020007300750020007300740061006d00700061006e0074006900200065002000700072006f006f0066006500720020006400650073006b0074006f0070002e0020004900200064006f00630075006d0065006e007400690020005000440046002000630072006500610074006900200070006f00730073006f006e006f0020006500730073006500720065002000610070006500720074006900200063006f006e0020004100630072006f00620061007400200065002000410064006f00620065002000520065006100640065007200200035002e003000200065002000760065007200730069006f006e006900200073007500630063006500730073006900760065002egt JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE ltFEFF0041006e007600e4006e00640020006400650020006800e4007200200069006e0073007400e4006c006c006e0069006e006700610072006e00610020006f006d002000640075002000760069006c006c00200073006b006100700061002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e00740020006600f600720020006b00760061006c00690074006500740073007500740073006b0072006900660074006500720020007000e5002000760061006e006c00690067006100200073006b0072006900760061007200650020006f006300680020006600f600720020006b006f007200720065006b007400750072002e002000200053006b006100700061006400650020005000440046002d0064006f006b0075006d0065006e00740020006b0061006e002000f600700070006e00610073002000690020004100630072006f0062006100740020006f00630068002000410064006f00620065002000520065006100640065007200200035002e00300020006f00630068002000730065006e006100720065002egt ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Formalize five-day training module on ldquoStrategic Communications for Behavior Changerdquo
Significant central-level collaboration in content development and presentation
Training for all relevant and interested regional staff
JHUCCP Baltimore training materials colllected Puppets and puppet show reports and scripts Experience engaging ldquolocal wisdomrdquo
Training module on Strategic Communication for Behavior Change
January ndash March 2007
Formalize guidelines for organizing a local health fair (eg 1-day or 4 months as in one Malang RW)
Central-level input about linking to media
Input as appropriate
Reports from multiple previous health fairs
Guidelines for organizing a local health fair
October - December 2006
Develop module on conducting ldquomini-baselinesrdquo in communities
BHS baseline questionnaire USAID ldquoAssessing Hygiene Improvement Guidelinesrdquo School attendance report from from Medan and Malang
Module for conducting ldquomini-baselinesrdquo
October ndash December 2006
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
32
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Refine existing materials and exercises
Third party draft of Snakes and Ladders game KUJBS coloring book Hand smelling exercise for children Hands in sticy rice exercise
Hygiene Behavior Change educational flipchart Snakes and Ladders Game Coloring Book Participatory hygiene examination exercises
October ndash December 2006
Prepare Field Assistant and Implementer Package
Existing materials finalized with logos ldquoMini-baselinerdquo module Refined existing materials and exercises
Implementable ldquoPackagerdquo of modules and materials
December ndash January 2007
Prepare Regional Specialist Package and guidelines for use
Central-level guidance on concept of ldquoadvocacyrdquo
Field Assistant and Implementer Package
Guidelines for use of Field AssistantImplementer and Regional Specialist Packages
December ndash January 2007
Sub-task 7-7 Regional Specialist Skill-building
Compile findings from baseline survey and formative research and provide guidelines to Regional Specialists in communication compiled findings
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
33
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Training on ldquoStrategic Communication for Behavioral Changerdquo
Participation in training delivery
Training participants
Training module on ldquoStrategic Communications for Behavioral Changerdquo
All regions receive five-day training to improve collaboration and better apply communication approaches Two trainings ndash one per island
April ndash May 2007
Training on use of Regional Specialist Package
Commuity-based Solid Waste and Community-based Sanitation Specialists participate in training
Guidelines for use of the Regional Specialist Package
Trained community-based specialists in each regioial office Six trainings ndash one per office Schedule of trainings for implementers
February 2007
Annual project-wide communications summit
Planning and participation
POC workplans Health and Hygiene workplans Strategic Communication Framework
Single vision and action approaches to strategic communication between POC and HealthHygiene specialists
October 2006
Sub-task 7-8 Ensuring Collaboration for Diarrhea Prevention
Regional specialists participate in regular Communications Coordination Meetings
Regiona POC leadership of Coordination Meetings
Coordinated time commitment of POC and HealthHygiene staff
Regiona action plans and reports on achievements
November 2006 ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
34
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN ltFEFF004200720075006700200069006e0064007300740069006c006c0069006e006700650072006e0065002000740069006c0020006100740020006f007000720065007400740065002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e007400650072002000740069006c0020006b00760061006c00690074006500740073007500640073006b007200690076006e0069006e006700200065006c006c006500720020006b006f007200720065006b007400750072006c00e60073006e0069006e0067002e0020004400650020006f007000720065007400740065006400650020005000440046002d0064006f006b0075006d0065006e0074006500720020006b0061006e002000e50062006e00650073002000690020004100630072006f00620061007400200065006c006c006500720020004100630072006f006200610074002000520065006100640065007200200035002e00300020006f00670020006e0079006500720065002egt DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB ltFEFF005500740069006c0069007a006500200065007300730061007300200063006f006e00660069006700750072006100e700f50065007300200064006500200066006f0072006d00610020006100200063007200690061007200200064006f00630075006d0065006e0074006f0073002000410064006f0062006500200050004400460020007000610072006100200069006d0070007200650073007300f5006500730020006400650020007100750061006c0069006400610064006500200065006d00200069006d00700072006500730073006f0072006100730020006400650073006b0074006f00700020006500200064006900730070006f00730069007400690076006f0073002000640065002000700072006f00760061002e0020004f007300200064006f00630075006d0065006e0074006f00730020005000440046002000630072006900610064006f007300200070006f00640065006d0020007300650072002000610062006500720074006f007300200063006f006d0020006f0020004100630072006f006200610074002000650020006f002000410064006f00620065002000520065006100640065007200200035002e0030002000650020007600650072007300f50065007300200070006f00730074006500720069006f007200650073002egt SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Quarterly trips of Municipal Service Delivery and Hygiene Communication Coordinator to each region for Collaboration Review and Planning
Regional Advisors lead meetings involving Community-based Solid Waste Community-based Sanitaiton Municipal WaterSanitation specialists in problem-solving support technical input around collaboration
Time commitment of SD and HampH Coordinator
Regional Action Plans for integrated activities updated quarterly
October 2006 ndash September 2007
Contribute to watershed team-led collaboration review and planning
TBD TBD TBD TBD
Sub-task 7-9 Supporting and Completing Local Activities and Partner Collaboration
Support first round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
March ndash May 2007
Support second round of application of Regional Specialist Package
Hygiene Communication Coordinator STTA
Continually improved skills of regional specialists
July ndash September 2007
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
35
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID
36
Sub-Task Description Activities Collaboration
with POC
Collaboration with Other
Components Resources Output Time
Frame
Identify and implement collaborative opportunities in ESP project sites
Input from AI HSP SWS GTZAceh FSN partners DBE1 DBE2 others
Collaboration plans and resource commitments
October 2006 ndash September 2007
Support regionally-identified public private partnerships
Private sector interest commitment and resources
Leveraged support for regional initiatives
October 2006 ndash September 2007
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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PreserveOverprintSettings true StartPage 1 SubsetFonts true TransferFunctionInfo Apply UCRandBGInfo Preserve UsePrologue false ColorSettingsFile () AlwaysEmbed [ true ] NeverEmbed [ true ] AntiAliasColorImages false CropColorImages true ColorImageMinResolution 300 ColorImageMinResolutionPolicy OK DownsampleColorImages true ColorImageDownsampleType Bicubic ColorImageResolution 300 ColorImageDepth -1 ColorImageMinDownsampleDepth 1 ColorImageDownsampleThreshold 150000 EncodeColorImages true ColorImageFilter DCTEncode AutoFilterColorImages true ColorImageAutoFilterStrategy JPEG ColorACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt ColorImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000ColorACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000ColorImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasGrayImages false CropGrayImages true GrayImageMinResolution 300 GrayImageMinResolutionPolicy OK DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU ltFEFF00560065007200770065006e00640065006e0020005300690065002000640069006500730065002000450069006e007300740065006c006c0075006e00670065006e0020007a0075006d002000450072007300740065006c006c0065006e00200076006f006e002000410064006f006200650020005000440046002d0044006f006b0075006d0065006e00740065006e002c00200076006f006e002000640065006e0065006e002000530069006500200068006f00630068007700650072007400690067006500200044007200750063006b006500200061007500660020004400650073006b0074006f0070002d0044007200750063006b00650072006e00200075006e0064002000500072006f006f0066002d00470065007200e400740065006e002000650072007a0065007500670065006e0020006d00f60063006800740065006e002e002000450072007300740065006c006c007400650020005000440046002d0044006f006b0075006d0065006e007400650020006b00f6006e006e0065006e0020006d006900740020004100630072006f00620061007400200075006e0064002000410064006f00620065002000520065006100640065007200200035002e00300020006f0064006500720020006800f600680065007200200067006500f600660066006e00650074002000770065007200640065006e002egt ESP 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FRA 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WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
APPENDIX 6 ndash 10-MINUTE MONITORING QUESTIONNAIRE ON DIARRHEA PREVENTION No EHP ESP
Questions Observations and Filters
Coding Categories
Percent of children under the age of 36 months with diarrhea in the last two weeks 159 XXX
Has [NAME OF YOUNGEST CHILD] had diarrhea in the last two weeks DIARRHEA THREE OR MORE LIQUID STOOLS IN 24 HOURS
YES NO DONrsquoT KNOW
Percentage of caretakers washing hands properly with soap and at appropriate times 136 Not done
Can you show me how you wash your hands INTERVIEWER OBSERVE THE HANDWASHING AND ANSWER THE FOLLOWING QUESTIONS
YES NO
137 Not done
Does the person use water
YES NO
138 Not done
Does the person use soap
YES NO
139 Not done
Are both hands washed
YES NO
140 Not done
Does he or she rub hands together three times or more
YES NO
141 Not done
How does the person dry his or her hands
WITH TOWEL OR CLOTH IN THE AIR GARMENT OTHER _____________________ (specify)
None H 703
Have you used soap today or yesterday
YES NO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 37
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
WASHING CLOTHESUTENSILS A WASHING MY BODY B WASHING MY CHILDREN C WASHING CHILDrsquoS BOTTOM D WASHING MY CHILDRENrsquoS HANDS E WASHING MY HANDS WASHING HANDS AFTER WORKING OUTSIDE F
WASHING HANDS AFTER CLEANING HOUSE G
WASHING HANDS AFTER DEFECATING H WASHING HANDS AFTER CLEANING CHILDrsquoS BOTTOM I
WASHING HANDS BEFORE FEEDING CHILD J
WASHING HANDS BEFORE PREPARING FOOD K
WASHING HANDS BEFORE EATING L
90 H 704
When you used soap today or yesterday what did you use it for IF FOR WASHING MY OR MY CHILDRENrsquoS HANDS IS MENTIONED PROBE WHAT WAS THE OCCASION BUT DO NOT READ THE ANSWERS (DO NOT READ THE ANSWERS ASK TO BE SPECIFIC ENCOURAGE ldquoWHAT ELSErdquo UNTIL NOTHING FURTHER IS MENTIONED AND CHECK ALL THAT APPLY)
OTHER (SPECIFY) _______________________ X
Percentage of children whose feces were disposed safely 157 H609
The last time [NAME OF YOUNGEST CHILD] passed stool where did she defecate
TOILETLATRINE WASHABLE DIAPERPAMPERS DISPOSABLE DIAPERPAMPERS POTTY ON THE GROUND IN THE HOUSE ON THE GROUND OUTSIDE OF THE HOUSE IN HISHER CLOTHES DIRTY WATER CHANNEL IN THE RIVER OR OTHER WATER OTHER (SPECIFY) _____________________________
158 H610
The last time [NAME OF YOUNGEST CHILD] passed stools where were the feces disposed of [IF ldquoWASHED OR RINSED AWAYrdquo PROBE WHERE THE WASTEWATER WAS DISPOSED OF IF ldquoDISPOSEDrdquo PROBE WHERE IT WAS DISPOSED OF SPECIFICALLY]
PUTRINSED INTO TOILET OR LATRINE PUTRINSED INTO DRAIN OR DITCH RINSED AND DISPOSED IN THE OPEN THROWN INTO GARBAGE BURIED DID NOTHINGLEFT IN THE OPEN OTHER (SPECIFY) ________________________________________
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 38
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
ltlt ASCII85EncodePages false AllowTransparency false AutoPositionEPSFiles true AutoRotatePages All Binding Left CalGrayProfile (Dot Gain 20) CalRGBProfile (sRGB IEC61966-21) CalCMYKProfile (US Web Coated 050SWOP051 v2) sRGBProfile (sRGB IEC61966-21) CannotEmbedFontPolicy Warning CompatibilityLevel 14 CompressObjects Tags CompressPages true ConvertImagesToIndexed true PassThroughJPEGImages true CreateJDFFile false CreateJobTicket false DefaultRenderingIntent Default DetectBlends true DetectCurves 00000 ColorConversionStrategy LeaveColorUnchanged DoThumbnails false EmbedAllFonts true EmbedOpenType false ParseICCProfilesInComments true EmbedJobOptions true DSCReportingLevel 0 EmitDSCWarnings false EndPage -1 ImageMemory 1048576 LockDistillerParams false MaxSubsetPct 100 Optimize true OPM 1 ParseDSCComments true ParseDSCCommentsForDocInfo true PreserveCopyPage true PreserveDICMYKValues true PreserveEPSInfo true PreserveFlatness true PreserveHalftoneInfo false PreserveOPIComments false PreserveOverprintSettings true StartPage 1 SubsetFonts true TransferFunctionInfo Apply UCRandBGInfo Preserve UsePrologue false ColorSettingsFile () AlwaysEmbed [ true ] NeverEmbed [ true ] AntiAliasColorImages false CropColorImages true ColorImageMinResolution 300 ColorImageMinResolutionPolicy OK DownsampleColorImages true ColorImageDownsampleType Bicubic ColorImageResolution 300 ColorImageDepth -1 ColorImageMinDownsampleDepth 1 ColorImageDownsampleThreshold 150000 EncodeColorImages true ColorImageFilter DCTEncode AutoFilterColorImages true ColorImageAutoFilterStrategy JPEG ColorACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt ColorImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000ColorACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000ColorImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasGrayImages false CropGrayImages true GrayImageMinResolution 300 GrayImageMinResolutionPolicy OK DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA 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ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
Percentage of households that practice safe drinking water management
H501
What is the main source of water used for drinking by members of your household MARK ONE RESPONSE NOTE IF ldquoREFILL WATERrdquo IS MENTIONED PROBE FROM WHICH SOURCE
PIPED WATER INTO DWELLING PIPED WATER INTO YARDPLOTBUILDING PUBLIC TAPSTANDPIPE TUBEWELLBOREHOLE PROTECTED DUG WELL UNPROTECTED DUG WELL UNPROTECTED SPRING RAINWATER COLLECTION CART WITH SMALLTANKDRUM TANKER TRUCK BOTTLED WATER SURFACE WATER (RIVERPONDLAKEDAMSTREAMCANALIRRIGATION CHANNEL) OTHER (SPECIFY) _______________________________
B HAVE YOU HEARD OF (READ RESPONSE)
C HAVE YOU EVER USED (READ RESPONSE)
WHAT CAN PEOPLE DO A ldquoXrdquo IF MENTIONED
YES NO YES NO BOIL WATER USE KAPORITE USE CHLORINEAIR RAHMATSWS
OTHER PRODUCT (SPECIFY) _________________________
AQUATABSTABLETS USE CLOTH FILTER WATER FILTER (ELECTRIC CERAMIC SAND PITCHER)
USE ALUMTAWAS SOLAR DISINFECTION
Not in H519
A What can people do to water to make it drinkable
WAIT FOR SPONTANEOUS REPONSES B Have you heard of
hellip READ METHODS NOT MENTIONED SPONTANEOUSLY C What have you
used to treatclean drinking water in your home
MARK ACCORDINGLY
OTHER (SPECIFY) ________________
Not in Done
How do you store drinking water
IN CONTAINER (BUCKET JERRY CAN JERKIN BOTTLE DRUM ETC) ROOF TANK OR CISTERN NO WATER STORED
29 Done
IF IN CONTAINERS What type of containers are these (NARROW MOUTHED OPENING IS 3CM OR LESS)
NARROW MOUTHED WIDE MOUTHED OF BOTH TYPES
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 39
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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PreserveOverprintSettings true StartPage 1 SubsetFonts true TransferFunctionInfo Apply UCRandBGInfo Preserve UsePrologue false ColorSettingsFile () AlwaysEmbed [ true ] NeverEmbed [ true ] AntiAliasColorImages false CropColorImages true ColorImageMinResolution 300 ColorImageMinResolutionPolicy OK DownsampleColorImages true ColorImageDownsampleType Bicubic ColorImageResolution 300 ColorImageDepth -1 ColorImageMinDownsampleDepth 1 ColorImageDownsampleThreshold 150000 EncodeColorImages true ColorImageFilter DCTEncode AutoFilterColorImages true ColorImageAutoFilterStrategy JPEG ColorACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt ColorImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000ColorACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000ColorImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasGrayImages false CropGrayImages true GrayImageMinResolution 300 GrayImageMinResolutionPolicy OK DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP ltFEFF005500740069006c0069006300650020006500730074006100200063006f006e0066006900670075007200610063006900f3006e0020007000610072006100200063007200650061007200200064006f00630075006d0065006e0074006f0073002000640065002000410064006f0062006500200050004400460020007000610072006100200063006f006e00730065006700750069007200200069006d0070007200650073006900f3006e002000640065002000630061006c006900640061006400200065006e00200069006d0070007200650073006f0072006100730020006400650020006500730063007200690074006f00720069006f00200079002000680065007200720061006d00690065006e00740061007300200064006500200063006f00720072006500630063006900f3006e002e002000530065002000700075006500640065006e00200061006200720069007200200064006f00630075006d0065006e0074006f00730020005000440046002000630072006500610064006f007300200063006f006e0020004100630072006f006200610074002c002000410064006f00620065002000520065006100640065007200200035002e003000200079002000760065007200730069006f006e0065007300200070006f00730074006500720069006f007200650073002egt FRA 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 ITA ltFEFF005500740069006c0069007a007a006100720065002000710075006500730074006500200069006d0070006f007300740061007a0069006f006e00690020007000650072002000630072006500610072006500200064006f00630075006d0065006e00740069002000410064006f006200650020005000440046002000700065007200200075006e00610020007300740061006d007000610020006400690020007100750061006c0069007400e00020007300750020007300740061006d00700061006e0074006900200065002000700072006f006f0066006500720020006400650073006b0074006f0070002e0020004900200064006f00630075006d0065006e007400690020005000440046002000630072006500610074006900200070006f00730073006f006e006f0020006500730073006500720065002000610070006500720074006900200063006f006e0020004100630072006f00620061007400200065002000410064006f00620065002000520065006100640065007200200035002e003000200065002000760065007200730069006f006e006900200073007500630063006500730073006900760065002egt JPN ltFEFF9ad854c18cea51fa529b7528002000410064006f0062006500200050004400460020658766f8306e4f5c6210306b4f7f75283057307e30593002537052376642306e753b8cea3092670059279650306b4fdd306430533068304c3067304d307e3059300230c730b930af30c830c330d730d730ea30f330bf3067306e53705237307e305f306f30d730eb30fc30d57528306b9069305730663044307e305930023053306e8a2d5b9a30674f5c62103055308c305f0020005000440046002030d530a130a430eb306f3001004100630072006f0062006100740020304a30883073002000410064006f00620065002000520065006100640065007200200035002e003000204ee5964d3067958b304f30533068304c3067304d307e30593002gt KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
WORKPLANNING FOR INTEGRATION HEALTH IN THE WATERSHED PREVENTING DIARRHEA UPSTREAM AND DOWN
No EHP ESP
Questions Observations and Filters
Coding Categories
30 Done
IF IN CONTAINERS Are the containers covered
ALL ARE SOME ARE NONE ARE
Not in Done
IF IN CONTAINERS Do the containers have a tapspigot
ALL DO SOME DO NONE DO
ENVIRONMENTAL SERVICES PROGRAM WWWESPORID 40
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
ltlt ASCII85EncodePages false AllowTransparency false AutoPositionEPSFiles true AutoRotatePages All Binding Left CalGrayProfile (Dot Gain 20) CalRGBProfile (sRGB IEC61966-21) CalCMYKProfile (US Web Coated 050SWOP051 v2) sRGBProfile (sRGB IEC61966-21) CannotEmbedFontPolicy Warning CompatibilityLevel 14 CompressObjects Tags CompressPages true ConvertImagesToIndexed true PassThroughJPEGImages true CreateJDFFile false CreateJobTicket false DefaultRenderingIntent Default DetectBlends true DetectCurves 00000 ColorConversionStrategy LeaveColorUnchanged DoThumbnails false EmbedAllFonts true EmbedOpenType false ParseICCProfilesInComments true EmbedJobOptions true DSCReportingLevel 0 EmitDSCWarnings false EndPage -1 ImageMemory 1048576 LockDistillerParams false MaxSubsetPct 100 Optimize true OPM 1 ParseDSCComments true ParseDSCCommentsForDocInfo true PreserveCopyPage true PreserveDICMYKValues true PreserveEPSInfo true PreserveFlatness true PreserveHalftoneInfo false PreserveOPIComments false PreserveOverprintSettings true StartPage 1 SubsetFonts true TransferFunctionInfo Apply UCRandBGInfo Preserve UsePrologue false ColorSettingsFile () AlwaysEmbed [ true ] NeverEmbed [ true ] AntiAliasColorImages false CropColorImages true ColorImageMinResolution 300 ColorImageMinResolutionPolicy OK DownsampleColorImages true ColorImageDownsampleType Bicubic ColorImageResolution 300 ColorImageDepth -1 ColorImageMinDownsampleDepth 1 ColorImageDownsampleThreshold 150000 EncodeColorImages true ColorImageFilter DCTEncode AutoFilterColorImages true ColorImageAutoFilterStrategy JPEG ColorACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt ColorImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000ColorACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000ColorImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasGrayImages false CropGrayImages true GrayImageMinResolution 300 GrayImageMinResolutionPolicy OK DownsampleGrayImages true GrayImageDownsampleType Bicubic GrayImageResolution 300 GrayImageDepth -1 GrayImageMinDownsampleDepth 2 GrayImageDownsampleThreshold 150000 EncodeGrayImages true GrayImageFilter DCTEncode AutoFilterGrayImages true GrayImageAutoFilterStrategy JPEG GrayACSImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt GrayImageDict ltlt QFactor 015 HSamples [1 1 1 1] VSamples [1 1 1 1] gtgt JPEG2000GrayACSImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt JPEG2000GrayImageDict ltlt TileWidth 256 TileHeight 256 Quality 30 gtgt AntiAliasMonoImages false CropMonoImages true MonoImageMinResolution 1200 MonoImageMinResolutionPolicy OK DownsampleMonoImages true MonoImageDownsampleType Bicubic MonoImageResolution 1200 MonoImageDepth -1 MonoImageDownsampleThreshold 150000 EncodeMonoImages true MonoImageFilter CCITTFaxEncode MonoImageDict ltlt K -1 gtgt AllowPSXObjects false CheckCompliance [ None ] PDFX1aCheck false PDFX3Check false PDFXCompliantPDFOnly false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU 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 ESP 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 FRA ltFEFF005500740069006c006900730065007a00200063006500730020006f007000740069006f006e00730020006100660069006e00200064006500200063007200e900650072002000640065007300200064006f00630075006d0065006e00740073002000410064006f00620065002000500044004600200070006f007500720020006400650073002000e90070007200650075007600650073002000650074002000640065007300200069006d007000720065007300730069006f006e00730020006400650020006800610075007400650020007100750061006c0069007400e90020007300750072002000640065007300200069006d007000720069006d0061006e0074006500730020006400650020006200750072006500610075002e0020004c0065007300200064006f00630075006d0065006e00740073002000500044004600200063007200e900e90073002000700065007500760065006e0074002000ea0074007200650020006f007500760065007200740073002000640061006e00730020004100630072006f006200610074002c002000610069006e00730069002000710075002700410064006f00620065002000520065006100640065007200200035002e0030002000650074002000760065007200730069006f006e007300200075006c007400e90072006900650075007200650073002egt ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 PTB 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 SUO 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 SVE ltFEFF0041006e007600e4006e00640020006400650020006800e4007200200069006e0073007400e4006c006c006e0069006e006700610072006e00610020006f006d002000640075002000760069006c006c00200073006b006100700061002000410064006f006200650020005000440046002d0064006f006b0075006d0065006e00740020006600f600720020006b00760061006c00690074006500740073007500740073006b0072006900660074006500720020007000e5002000760061006e006c00690067006100200073006b0072006900760061007200650020006f006300680020006600f600720020006b006f007200720065006b007400750072002e002000200053006b006100700061006400650020005000440046002d0064006f006b0075006d0065006e00740020006b0061006e002000f600700070006e00610073002000690020004100630072006f0062006100740020006f00630068002000410064006f00620065002000520065006100640065007200200035002e00300020006f00630068002000730065006e006100720065002egt ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 50 and later) gtgt Namespace [ (Adobe) (Common) (10) ] OtherNamespaces [ ltlt AsReaderSpreads false CropImagesToFrames true ErrorControl WarnAndContinue FlattenerIgnoreSpreadOverrides false IncludeGuidesGrids false IncludeNonPrinting false IncludeSlug false Namespace [ (Adobe) (InDesign) (40) ] OmitPlacedBitmaps false OmitPlacedEPS false OmitPlacedPDF false SimulateOverprint Legacy gtgt ltlt AddBleedMarks false AddColorBars false AddCropMarks false AddPageInfo false AddRegMarks false ConvertColors NoConversion DestinationProfileName () DestinationProfileSelector NA Downsample16BitImages true FlattenerPreset ltlt PresetSelector MediumResolution gtgt FormElements false GenerateStructure true IncludeBookmarks false IncludeHyperlinks false IncludeInteractive false IncludeLayers false IncludeProfiles true MultimediaHandling UseObjectSettings Namespace [ (Adobe) (CreativeSuite) (20) ] PDFXOutputIntentProfileSelector NA PreserveEditing true UntaggedCMYKHandling LeaveUntagged UntaggedRGBHandling LeaveUntagged UseDocumentBleed false gtgt ]gtgt setdistillerparamsltlt HWResolution [2400 2400] PageSize [612000 792000]gtgt setpagedevice
ENVIRONMENTAL SERVICES PROGRAM Ratu Plaza Building 17th Fl
Jl Jend Sudirman No 9 Jakarta 10270
Indonesia
Tel +62-21-720-9594 Fax +62-21-720-4546
wwwesporid
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false PDFXNoTrimBoxError true PDFXTrimBoxToMediaBoxOffset [ 000000 000000 000000 000000 ] PDFXSetBleedBoxToMediaBox true PDFXBleedBoxToTrimBoxOffset [ 000000 000000 000000 000000 ] PDFXOutputIntentProfile () PDFXOutputConditionIdentifier () PDFXOutputCondition () PDFXRegistryName () PDFXTrapped False Description ltlt CHS ltFEFF4f7f75288fd94e9b8bbe5b9a521b5efa7684002000500044004600206587686353ef901a8fc7684c976262535370673a548c002000700072006f006f00660065007200208fdb884c9ad88d2891cf62535370300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c676562535f00521b5efa768400200050004400460020658768633002gt CHT ltFEFF4f7f752890194e9b8a2d7f6e5efa7acb7684002000410064006f006200650020005000440046002065874ef653ef5728684c9762537088686a5f548c002000700072006f006f00660065007200204e0a73725f979ad854c18cea7684521753706548679c300260a853ef4ee54f7f75280020004100630072006f0062006100740020548c002000410064006f00620065002000520065006100640065007200200035002e003000204ee553ca66f49ad87248672c4f86958b555f5df25efa7acb76840020005000440046002065874ef63002gt DAN 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 DEU ltFEFF00560065007200770065006e00640065006e0020005300690065002000640069006500730065002000450069006e007300740065006c006c0075006e00670065006e0020007a0075006d002000450072007300740065006c006c0065006e00200076006f006e002000410064006f006200650020005000440046002d0044006f006b0075006d0065006e00740065006e002c00200076006f006e002000640065006e0065006e002000530069006500200068006f00630068007700650072007400690067006500200044007200750063006b006500200061007500660020004400650073006b0074006f0070002d0044007200750063006b00650072006e00200075006e0064002000500072006f006f0066002d00470065007200e400740065006e002000650072007a0065007500670065006e0020006d00f60063006800740065006e002e002000450072007300740065006c006c007400650020005000440046002d0044006f006b0075006d0065006e007400650020006b00f6006e006e0065006e0020006d006900740020004100630072006f00620061007400200075006e0064002000410064006f00620065002000520065006100640065007200200035002e00300020006f0064006500720020006800f600680065007200200067006500f600660066006e00650074002000770065007200640065006e002egt ESP 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 FRA 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 ITA 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 JPN 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 KOR ltFEFFc7740020c124c815c7440020c0acc6a9d558c5ec0020b370c2a4d06cd0d10020d504b9b0d1300020bc0f0020ad50c815ae30c5d0c11c0020ace0d488c9c8b85c0020c778c1c4d560002000410064006f0062006500200050004400460020bb38c11cb97c0020c791c131d569b2c8b2e4002e0020c774b807ac8c0020c791c131b41c00200050004400460020bb38c11cb2940020004100630072006f0062006100740020bc0f002000410064006f00620065002000520065006100640065007200200035002e00300020c774c0c1c5d0c11c0020c5f40020c2180020c788c2b5b2c8b2e4002egt NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken voor kwaliteitsafdrukken op desktopprinters en proofers De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 50 en hoger) NOR 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 SVE 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 ENU (Use these settings to create Adobe PDF documents for quality printing on desktop printers and proofers Created PDF documents can be opened with Acrobat and Adobe Reader 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